| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.95 | $424.79 | $440.52 | |
Aetna
| Professional | $345.91 | $415.00 | $440.52 | |
Anthem BCBS
| Facility | $514.48 | $826.47 | $868.62 | |
Anthem BCBS
| Professional | $386.57 | $420.61 | $437.46 | |
CareSource
| Facility | $619.85 | $1,109.83 | $1,268.38 | |
CareSource
| Professional | $785.15 | $991.76 | $1,363.68 | |
Cigna
| Facility | $512.80 | $512.80 | $968.52 | |
Cigna
| Professional | $374.35 | $512.80 | $3,882.51 | |
Molina
| Professional | $303.37 | $384.76 | $462.46 | |
United
| Professional | $274.88 | $388.19 | $544.86 |