| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.78 | $87.31 | $4,846.00 | |
Aetna
| Professional | $77.14 | $81.84 | $109.63 | |
Anthem BCBS
| Facility | $1,058.00 | $7,572.00 | $18,942.00 | |
Anthem BCBS
| Professional | $74.45 | $104.96 | $141.69 | |
CareSource
| Facility | $71.64 | $93.13 | $107.46 | |
CareSource
| Professional | $71.64 | $85.97 | $107.46 | |
Cigna
| Facility | $93.41 | $93.41 | $761.00 | |
Cigna
| Professional | $83.52 | $107.88 | $168.20 | |
United
| Facility | $612.00 | $5,076.00 | $10,396.00 | |
United
| Professional | $75.54 | $96.17 | $163.44 |