| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $595.88 | $595.88 | $1,203.94 | |
Aetna
| Professional | $572.97 | $599.66 | $653.17 | |
Anthem BCBS
| Facility | $951.11 | $1,077.53 | $1,203.94 | |
Anthem BCBS
| Professional | $587.33 | $656.78 | $886.65 | |
CareSource
| Facility | $966.11 | $1,324.33 | $1,805.91 | |
CareSource
| Professional | $1,023.35 | $1,324.33 | $1,625.32 | |
Cigna
| Facility | $711.81 | $711.81 | $1,203.94 | |
Cigna
| Professional | $519.62 | $711.81 | $1,235.01 | |
United
| Professional | $358.66 | $582.82 | $810.58 |