| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.62 | $672.64 | $2,047.15 | |
Aetna
| Professional | $462.07 | $479.62 | $555.66 | |
Anthem BCBS
| Facility | $462.07 | $526.41 | $1,754.70 | |
Anthem BCBS
| Professional | $288.83 | $288.83 | $398.59 | |
CareSource
| Facility | $584.90 | $760.37 | $818.86 | |
CareSource
| Professional | $584.90 | $701.88 | $877.35 | |
Cigna
| Facility | $469.37 | $584.90 | $1,511.73 | |
Cigna
| Professional | $314.97 | $421.06 | $853.38 | |
United
| Professional | $245.66 | $397.16 | $642.80 |