| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $537.03 | $537.03 | |
Aetna
| Professional | $478.63 | $549.54 | $794.33 | |
Anthem BCBS
| Facility | $562.34 | $1,096.48 | $1,380.38 | |
Anthem BCBS
| Professional | $562.34 | $562.34 | $1,023.29 | |
CareSource
| Facility | $1,071.52 | $1,348.96 | $1,621.81 | |
Cigna
| Facility | $630.96 | $691.83 | $1,096.48 | |
Cigna
| Professional | $512.86 | $512.86 | $933.25 | |
United
| Facility | $371.54 | $724.44 | $851.14 | |
United
| Professional | $316.23 | $512.86 | $741.31 |