| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $555.95 | $555.95 | $627.51 | |
Aetna
| Professional | $555.95 | $736.50 | $1,005.44 | |
Anthem BCBS
| Professional | $121.22 | $757.40 | $1,969.95 | |
CareSource
| Facility | $82.20 | $151.22 | $378.68 | |
CareSource
| Professional | $82.93 | $82.93 | $112.21 | |
Cigna
| Facility | $64.00 | $95.00 | $95.00 | |
Cigna
| Professional | $71.76 | $4,077.00 | $5,096.25 | |
Kaiser Permanente
| Professional | $437.21 | $437.21 | $450.32 | |
United
| Professional | $41.84 | $80.83 | $188.48 |