| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.37 | $347.60 | $1,957.12 | |
Aetna
| Professional | $194.37 | $352.00 | $404.80 | |
Anthem BCBS
| Facility | $273.89 | $396.00 | $462.44 | |
Anthem BCBS
| Professional | $171.70 | $202.00 | $546.25 | |
CareSource
| Facility | $528.00 | $616.00 | $726.00 | |
CareSource
| Professional | $506.00 | $594.00 | $880.00 | |
Cigna
| Facility | $286.00 | $342.36 | $580.58 | |
Cigna
| Professional | $200.17 | $330.00 | $2,120.80 | |
United
| Professional | $106.02 | $184.80 | $440.00 |