| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $3,467.37 | $7,079.46 | |
Aetna
| Professional | $407.38 | $478.63 | $1,023.29 | |
Anthem BCBS
| Facility | $20,417.38 | $40,738.03 | $52,480.75 | |
Anthem BCBS
| Professional | $323.59 | $389.05 | $630.96 | |
CareSource
| Facility | $389.05 | $436.52 | $457.09 | |
Cigna
| Facility | $457.09 | $660.69 | $676.08 | |
Cigna
| Professional | $407.38 | $537.03 | $870.96 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 | |
United
| Professional | $389.05 | $537.03 | $891.25 |