| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.04 | $390.04 | $1,095.28 | |
Aetna
| Professional | $340.95 | $390.04 | $595.29 | |
Anthem BCBS
| Facility | $504.42 | $571.46 | $638.50 | |
Anthem BCBS
| Professional | $598.22 | $747.78 | $1,007.40 | |
CareSource
| Facility | $542.73 | $752.15 | $957.75 | |
CareSource
| Professional | $542.73 | $702.35 | $861.98 | |
Cigna
| Facility | $638.50 | $736.58 | $761.97 | |
Cigna
| Professional | $537.70 | $537.70 | $987.07 | |
United
| Professional | $356.04 | $583.50 | $882.80 |