| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.16 | $508.25 | $1,075.14 | |
Aetna
| Professional | $162.90 | $267.16 | $293.22 | |
Anthem BCBS
| Facility | $257.38 | $293.22 | $977.40 | |
Anthem BCBS
| Professional | $63.42 | $85.43 | $182.33 | |
CareSource
| Facility | $325.80 | $358.38 | $456.12 | |
CareSource
| Professional | $211.77 | $342.09 | $439.83 | |
Cigna
| Facility | $211.77 | $325.80 | $757.96 | |
Cigna
| Professional | $75.95 | $374.18 | $467.72 | |
United
| Professional | $94.18 | $136.84 | $293.22 |