| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $588.84 | $588.84 | |
Aetna
| Professional | $537.03 | $537.03 | $588.84 | |
Anthem BCBS
| Professional | $0.85 | $1.00 | $1.00 | |
CareSource
| Facility | $41,686.94 | $52,480.75 | $63,095.73 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 |