| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $451.59 | $568.15 | $784.58 | |
Aetna
| Professional | $272.44 | $437.38 | $568.15 | |
BCBS
| Facility | $514.04 | $514.04 | $514.04 | |
BCBS
| Professional | $383.28 | $563.64 | $563.64 | |
CareSource
| Facility | $450.91 | $450.91 | $541.09 | |
CareSource
| Professional | $293.08 | $293.08 | $450.91 | |
Cigna
| Facility | $293.52 | $381.02 | $839.77 | |
Cigna
| Professional | $216.44 | $410.36 | $677.60 | |
United
| Facility | $405.82 | $405.82 | $405.82 | |
United
| Professional | $189.38 | $270.55 | $451.59 |