| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $3,801.89 | $5,623.41 | |
Aetna
| Professional | $95.50 | $208.93 | $354.81 | |
Anthem BCBS
| Facility | $2,089.30 | $4,265.80 | $8,317.64 | |
Anthem BCBS
| Professional | $81.28 | $95.50 | $158.49 | |
CareSource
| Facility | $97.72 | $107.15 | $120.23 | |
Cigna
| Facility | $758.58 | $758.58 | $758.58 | |
Cigna
| Professional | $107.15 | $199.53 | $371.54 | |
United
| Facility | $741.31 | $2,818.38 | $4,265.80 | |
United
| Professional | $91.20 | $194.98 | $380.19 |