| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $275.42 | $575.44 | $1,174.90 | |
Ambetter
| Professional | $537.03 | $630.96 | $870.96 | |
Anthem BCBS
| Facility | $2,454.71 | $4,466.84 | $8,709.64 | |
Anthem BCBS
| Professional | $302.00 | $501.19 | $1,000.00 | |
CareSource
| Facility | $302.00 | $363.08 | $407.38 | |
CareSource
| Professional | $575.44 | $645.65 | $794.33 | |
Cigna
| Facility | $354.81 | $616.60 | $1,000.00 | |
Cigna
| Professional | $269.15 | $512.86 | $851.14 | |
United
| Facility | $512.86 | $2,137.96 | $5,754.40 | |
United
| Professional | $275.42 | $501.19 | $870.96 |