| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.54 | $283.54 | $572.88 | |
Aetna
| Professional | $272.64 | $287.17 | $309.44 | |
Anthem BCBS
| Facility | $452.58 | $512.73 | $572.88 | |
Anthem BCBS
| Professional | $279.48 | $302.39 | $417.31 | |
CareSource
| Facility | $435.41 | $630.16 | $859.32 | |
CareSource
| Professional | $486.95 | $630.16 | $773.39 | |
Cigna
| Facility | $347.46 | $347.46 | $572.88 | |
Cigna
| Professional | $253.65 | $347.46 | $587.66 | |
United
| Professional | $171.75 | $273.88 | $390.89 |