| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $501.19 | $1,071.52 | |
Aetna
| Professional | $229.09 | $263.03 | $316.23 | |
Anthem BCBS
| Facility | $323.59 | $323.59 | $977.24 | |
Anthem BCBS
| Professional | $128.82 | $128.82 | $257.04 | |
CareSource
| Facility | $257.04 | $323.59 | $323.59 | |
CareSource
| Professional | $323.59 | $354.81 | $457.09 | |
Cigna
| Facility | $234.42 | $323.59 | $588.84 | |
Cigna
| Professional | $169.82 | $302.00 | $478.63 | |
United
| Facility | $323.59 | $323.59 | $323.59 | |
United
| Professional | $134.90 | $194.98 | $331.13 |