| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,332.50 | $1,868.75 | $5,996.25 | |
Aetna
| Professional | $975.00 | $1,332.50 | $1,543.75 | |
Anthem BCBS
| Facility | $1,283.75 | $1,454.38 | $4,875.00 | |
Anthem BCBS
| Professional | $100.00 | $650.00 | $923.00 | |
CareSource
| Facility | $1,625.00 | $1,950.00 | $2,275.00 | |
CareSource
| Professional | $1,625.00 | $1,868.75 | $2,356.25 | |
Cigna
| Facility | $1,056.25 | $1,625.00 | $3,780.56 | |
Cigna
| Professional | $858.00 | $1,867.59 | $2,334.48 | |
United
| Professional | $682.50 | $975.00 | $1,625.00 |