| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $691.83 | $2,454.71 | |
Aetna
| Professional | $309.03 | $338.84 | $426.58 | |
Anthem BCBS
| Facility | $416.87 | $416.87 | $1,258.93 | |
Anthem BCBS
| Professional | $229.09 | $229.09 | $478.63 | |
CareSource
| Facility | $398.11 | $501.19 | $562.34 | |
CareSource
| Professional | $416.87 | $457.09 | $588.84 | |
Cigna
| Facility | $302.00 | $416.87 | $933.25 | |
Cigna
| Professional | $263.03 | $380.19 | $831.76 | |
United
| Facility | $416.87 | $416.87 | $416.87 | |
United
| Professional | $173.78 | $251.19 | $457.09 |