| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $678.78 | $678.78 | $678.78 | |
Aetna
| Professional | $678.78 | $678.78 | $754.59 | |
Anthem BCBS
| Professional | $1,051.47 | $1,051.47 | $1,326.48 | |
CareSource
| Facility | $661.50 | $661.50 | $661.50 | |
Cigna
| Facility | $536.83 | $536.83 | $536.83 | |
Cigna
| Professional | $456.31 | $536.83 | $552.92 |