| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.06 | $0.06 | $0.06 | |
Aetna
| Professional | $0.06 | $914.00 | $1,252.18 | |
Anthem BCBS
| Facility | $1,883.31 | $1,883.31 | $1,883.31 | |
Anthem BCBS
| Professional | $100.00 | $680.00 | $800.00 | |
CareSource
| Facility | $1,096.80 | $1,279.59 | $1,508.10 | |
CareSource
| Professional | $1,051.09 | $1,279.59 | $1,828.00 | |
Cigna
| Facility | $594.10 | $711.18 | $1,206.02 | |
Cigna
| Professional | $417.17 | $966.22 | $4,405.47 | |
United
| Professional | $395.76 | $548.40 | $914.00 |