| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.31 | $270.20 | $1,465.67 | |
Aetna
| Professional | $230.66 | $263.61 | $329.51 | |
Anthem BCBS
| Facility | $69.13 | $296.56 | $346.32 | |
Anthem BCBS
| Professional | $69.13 | $69.13 | $131.80 | |
CareSource
| Facility | $362.46 | $461.31 | $543.69 | |
CareSource
| Professional | $329.51 | $428.36 | $553.58 | |
Cigna
| Facility | $214.18 | $256.39 | $827.74 | |
Cigna
| Professional | $149.91 | $362.46 | $1,588.24 | |
United
| Professional | $142.68 | $197.71 | $362.46 |