| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $1,380.38 | $5,623.41 | |
Aetna
| Professional | $93.33 | $239.88 | $436.52 | |
Anthem BCBS
| Facility | $83.18 | $83.18 | $162.18 | |
Anthem BCBS
| Professional | $83.18 | $190.55 | $371.54 | |
CareSource
| Facility | $83.18 | $91.20 | $97.72 | |
Cigna
| Professional | $95.50 | $275.42 | $457.09 | |
United
| Facility | $933.25 | $2,290.87 | $7,413.10 | |
United
| Professional | $89.13 | $229.09 | $501.19 |