| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $462.07 | $479.62 | $2,601.64 | |
Aetna
| Professional | $462.07 | $467.92 | $584.90 | |
Anthem BCBS
| Facility | $288.83 | $526.41 | $614.73 | |
Anthem BCBS
| Professional | $245.51 | $288.83 | $288.83 | |
CareSource
| Facility | $701.88 | $818.86 | $965.09 | |
CareSource
| Professional | $672.64 | $789.62 | $1,169.80 | |
Cigna
| Facility | $380.19 | $455.11 | $771.79 | |
Cigna
| Professional | $270.80 | $678.67 | $2,819.22 | |
United
| Professional | $303.27 | $433.26 | $722.10 |