| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.00 | $350.00 | $350.00 | |
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
Anthem BCBS
| Facility | $301.30 | $301.30 | $581.51 | |
Anthem BCBS
| Professional | $221.31 | $301.30 | $397.71 | |
CareSource
| Facility | $232.64 | $332.34 | $332.34 | |
Cigna
| Professional | $397.72 | $397.72 | $397.72 |