| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $2,511.89 | $5,623.41 | |
Aetna
| Professional | $1,047.13 | $1,318.26 | $1,584.89 | |
Anthem BCBS
| Facility | $1,621.81 | $1,621.81 | $4,897.79 | |
Anthem BCBS
| Professional | $100.00 | $645.65 | $1,258.93 | |
CareSource
| Facility | $1,230.27 | $1,230.27 | $2,041.74 | |
Cigna
| Facility | $1,047.13 | $1,621.81 | $3,630.78 | |
Cigna
| Professional | $741.31 | $1,479.11 | $2,951.21 | |
United
| Facility | $724.44 | $1,621.81 | $1,621.81 | |
United
| Professional | $676.08 | $977.24 | $1,621.81 |