| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $724.44 | $1,412.54 | |
Aetna
| Professional | $389.05 | $478.63 | $588.84 | |
Anthem BCBS
| Facility | $489.78 | $588.84 | $616.60 | |
Anthem BCBS
| Professional | $288.40 | $288.40 | $288.40 | |
CareSource
| Facility | $588.84 | $812.83 | $1,122.02 | |
CareSource
| Professional | $630.96 | $758.58 | $954.99 | |
Cigna
| Facility | $380.19 | $933.25 | $933.25 | |
Cigna
| Professional | $295.12 | $794.33 | $2,818.38 | |
United
| Facility | $436.52 | $436.52 | $436.52 | |
United
| Professional | $251.19 | $436.52 | $724.44 |