| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.98 | $457.98 | $925.33 | |
Aetna
| Professional | $440.37 | $459.68 | $497.00 | |
Anthem BCBS
| Facility | $731.01 | $828.17 | $925.33 | |
Anthem BCBS
| Professional | $451.42 | $502.69 | $678.63 | |
CareSource
| Facility | $697.73 | $1,017.86 | $1,388.00 | |
CareSource
| Professional | $786.53 | $1,017.86 | $1,249.20 | |
Cigna
| Facility | $576.88 | $576.88 | $925.33 | |
Cigna
| Professional | $421.12 | $576.88 | $949.21 | |
United
| Facility | $1,322.59 | $1,322.59 | $1,322.59 | |
United
| Professional | $274.93 | $442.37 | $625.70 |