| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.23 | $298.23 | $602.54 | |
Aetna
| Professional | $286.76 | $298.48 | $323.63 | |
Anthem BCBS
| Facility | $476.01 | $539.27 | $602.54 | |
Anthem BCBS
| Professional | $293.94 | $326.91 | $441.32 | |
CareSource
| Facility | $452.20 | $662.79 | $903.81 | |
CareSource
| Professional | $512.16 | $662.79 | $813.43 | |
Cigna
| Facility | $380.61 | $380.61 | $602.54 | |
Cigna
| Professional | $277.85 | $277.85 | $618.09 | |
United
| Professional | $178.52 | $288.06 | $403.47 |