| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,000.00 | $3,890.45 | |
Aetna
| Professional | $95.50 | $204.17 | $380.19 | |
Anthem BCBS
| Facility | $1,348.96 | $2,137.96 | $2,951.21 | |
Anthem BCBS
| Professional | $81.28 | $95.50 | $120.23 | |
CareSource
| Facility | $95.50 | $134.90 | $186.21 | |
CareSource
| Professional | $95.50 | $131.83 | $162.18 | |
Cigna
| Facility | $34.67 | $181.97 | $181.97 | |
Cigna
| Professional | $117.49 | $281.84 | $1,230.27 | |
Molina
| Professional | $32.36 | $33.11 | $173.78 | |
United
| Facility | $389.05 | $954.99 | $3,388.44 | |
United
| Professional | $100.00 | $204.17 | $389.05 |