| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $914.00 | $2,742.00 | |
Aetna
| Professional | $914.00 | $1,051.09 | $3,016.20 | |
Anthem BCBS
| Facility | $846.27 | $2,742.00 | $4,962.10 | |
Anthem BCBS
| Professional | $100.00 | $846.27 | $1,140.08 | |
CareSource
| Facility | $914.00 | $1,188.20 | $1,279.59 | |
CareSource
| Professional | $914.00 | $1,096.80 | $1,371.00 | |
Cigna
| Facility | $594.10 | $914.00 | $2,036.95 | |
Cigna
| Professional | $657.97 | $1,117.08 | $1,333.83 | |
United
| Professional | $383.88 | $548.40 | $1,004.49 |