| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $816.47 | $816.47 | $816.47 | |
Aetna
| Professional | $427.07 | $816.47 | $995.06 | |
Anthem BCBS
| Facility | $700.20 | $700.20 | $1,351.39 | |
Anthem BCBS
| Professional | $361.84 | $700.20 | $945.27 | |
CareSource
| Facility | $96.70 | $130.55 | $207.90 | |
CareSource
| Professional | $96.70 | $123.30 | $163.18 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $71.76 | $190.49 | $4,321.62 | |
United
| Professional | $40.57 | $77.98 | $173.32 |