| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.62 | $672.64 | $2,158.29 | |
Aetna
| Professional | $368.49 | $479.62 | $555.66 | |
Anthem BCBS
| Facility | $462.07 | $526.41 | $1,754.70 | |
Anthem BCBS
| Professional | $100.00 | $288.83 | $800.00 | |
CareSource
| Facility | $584.90 | $701.88 | $818.86 | |
CareSource
| Professional | $584.90 | $672.64 | $848.11 | |
Cigna
| Facility | $469.37 | $584.90 | $1,511.73 | |
Cigna
| Professional | $351.09 | $532.84 | $916.66 | |
United
| Professional | $245.66 | $350.94 | $642.80 |