| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.26 | $571.72 | $1,201.63 | |
Aetna
| Professional | $329.26 | $333.42 | $416.78 | |
Anthem BCBS
| Facility | $259.45 | $416.78 | $572.91 | |
Anthem BCBS
| Professional | $205.82 | $205.82 | $572.91 | |
CareSource
| Facility | $403.74 | $583.49 | $687.69 | |
CareSource
| Professional | $479.30 | $520.98 | $833.56 | |
Cigna
| Facility | $270.91 | $324.30 | $549.95 | |
Cigna
| Professional | $193.02 | $531.32 | $2,008.88 | |
United
| Professional | $180.47 | $343.03 | $571.72 |