| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $472.35 | $490.29 | $2,659.51 | |
Aetna
| Professional | $358.74 | $478.33 | $597.91 | |
Anthem BCBS
| Facility | $372.20 | $597.91 | $800.00 | |
Anthem BCBS
| Professional | $239.16 | $800.00 | $800.00 | |
CareSource
| Facility | $597.91 | $837.07 | $986.55 | |
CareSource
| Professional | $657.70 | $777.28 | $1,195.82 | |
Cigna
| Facility | $388.64 | $465.23 | $717.49 | |
Cigna
| Professional | $273.58 | $686.82 | $2,881.93 | |
Molina
| Professional | $328.85 | $328.85 | $328.85 | |
United
| Professional | $251.12 | $361.26 | $657.70 |