| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.25 | $345.25 | $345.25 | |
Aetna
| Professional | $324.60 | $356.33 | $403.95 | |
Anthem BCBS
| Facility | $343.37 | $343.37 | $662.70 | |
Anthem BCBS
| Professional | $274.69 | $343.37 | $605.09 | |
CareSource
| Facility | $320.42 | $448.76 | $502.61 | |
CareSource
| Professional | $335.67 | $394.91 | $493.86 | |
Cigna
| Professional | $363.69 | $465.83 | $646.21 | |
United
| Professional | $273.00 | $395.25 | $666.37 |