| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.35 | $1,016.02 | $1,948.81 | |
Aetna
| Professional | $200.66 | $227.78 | $241.25 | |
Anthem BCBS
| Facility | $160.94 | $951.57 | $3,500.00 | |
Anthem BCBS
| Professional | $145.44 | $160.94 | $241.41 | |
CareSource
| Facility | $199.24 | $246.53 | $298.86 | |
CareSource
| Professional | $199.24 | $219.16 | $278.94 | |
Cigna
| Facility | $189.23 | $262.98 | $2,460.92 | |
Cigna
| Professional | $140.85 | $282.36 | $481.28 | |
United
| Professional | $159.15 | $258.37 | $474.86 |