| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.89 | $321.37 | $321.37 | |
Aetna
| Professional | $271.26 | $309.89 | $323.63 | |
Anthem BCBS
| Facility | $375.32 | $602.92 | $633.67 | |
Anthem BCBS
| Professional | $282.01 | $314.32 | $326.91 | |
CareSource
| Facility | $452.20 | $843.56 | $980.07 | |
CareSource
| Professional | $572.78 | $753.18 | $994.83 | |
Cigna
| Facility | $380.61 | $380.61 | $706.56 | |
Cigna
| Professional | $277.85 | $344.89 | $2,885.16 | |
Molina
| Professional | $330.35 | $402.87 | $503.58 | |
United
| Professional | $200.53 | $290.10 | $409.78 |