| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.95 | $326.95 | $326.95 | |
Aetna
| Professional | $190.66 | $272.08 | $349.43 | |
Anthem BCBS
| Facility | $303.10 | $303.10 | $584.98 | |
Anthem BCBS
| Professional | $260.44 | $303.10 | $408.33 | |
CareSource
| Facility | $38.72 | $66.23 | $840.68 | |
CareSource
| Professional | $43.31 | $66.23 | $859.78 | |
Cigna
| Professional | $38.01 | $40.57 | $400.09 | |
United
| Professional | $17.02 | $27.07 | $359.60 |