| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $392.36 | $392.36 | $792.74 | |
Aetna
| Professional | $377.27 | $399.42 | $430.09 | |
Anthem BCBS
| Facility | $626.26 | $709.50 | $792.74 | |
Anthem BCBS
| Professional | $386.72 | $437.46 | $603.69 | |
CareSource
| Facility | $619.85 | $872.01 | $1,189.10 | |
CareSource
| Professional | $673.83 | $872.01 | $1,070.20 | |
Cigna
| Facility | $512.80 | $512.80 | $792.74 | |
Cigna
| Professional | $374.35 | $512.80 | $813.20 | |
United
| Professional | $238.89 | $388.19 | $539.89 |