| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.56 | $738.26 | $1,493.32 | |
Aetna
| Professional | $231.00 | $335.55 | $436.21 | |
Anthem BCBS
| Facility | $345.54 | $658.18 | $987.27 | |
Anthem BCBS
| Professional | $266.69 | $313.76 | $432.98 | |
CareSource
| Facility | $412.62 | $465.43 | $530.51 | |
CareSource
| Professional | $412.62 | $434.97 | $483.30 | |
Cigna
| Facility | $368.58 | $368.58 | $368.58 | |
Cigna
| Professional | $301.02 | $368.58 | $947.43 | |
United
| Professional | $329.09 | $371.87 | $658.18 |