| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.16 | $413.28 | $2,241.79 | |
Aetna
| Professional | $398.16 | $413.28 | $504.00 | |
Anthem BCBS
| Facility | $313.74 | $504.00 | $1,883.31 | |
Anthem BCBS
| Professional | $100.00 | $201.60 | $800.00 | |
CareSource
| Facility | $504.00 | $705.60 | $831.60 | |
CareSource
| Professional | $554.40 | $655.20 | $1,008.00 | |
Cigna
| Facility | $327.60 | $392.16 | $604.79 | |
Cigna
| Professional | $230.66 | $579.03 | $2,429.28 | |
Molina
| Professional | $277.20 | $277.20 | $277.20 | |
United
| Professional | $211.68 | $302.39 | $554.40 |