| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $624.00 | $624.00 | $1,260.75 | |
Aetna
| Professional | $600.00 | $626.30 | $677.16 | |
Anthem BCBS
| Facility | $995.99 | $1,128.36 | $1,260.75 | |
Anthem BCBS
| Professional | $615.04 | $737.29 | $995.34 | |
CareSource
| Facility | $950.71 | $1,386.83 | $1,891.13 | |
CareSource
| Professional | $1,071.64 | $1,386.83 | $1,702.01 | |
Cigna
| Facility | $741.89 | $741.89 | $1,260.75 | |
Cigna
| Professional | $541.58 | $741.89 | $1,293.29 | |
United
| Professional | $374.59 | $602.72 | $846.59 |