| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.46 | $1,386.00 | $5,500.00 | |
Aetna
| Professional | $412.73 | $476.39 | $567.87 | |
Anthem BCBS
| Facility | $5,048.00 | $36,076.04 | $47,628.00 | |
Anthem BCBS
| Professional | $314.48 | $393.11 | $542.49 | |
CareSource
| Facility | $376.87 | $480.32 | $554.22 | |
CareSource
| Professional | $376.87 | $443.38 | $554.22 | |
Cigna
| Professional | $410.66 | $554.22 | $877.50 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 | |
United
| Professional | $406.78 | $554.22 | $841.85 |