| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.64 | $402.64 | $659.19 | |
Aetna
| Professional | $351.99 | $402.64 | $489.52 | |
Anthem BCBS
| Facility | $520.76 | $589.98 | $659.19 | |
Anthem BCBS
| Professional | $174.00 | $725.49 | $977.38 | |
CareSource
| Facility | $560.30 | $776.53 | $988.79 | |
CareSource
| Professional | $560.30 | $725.11 | $889.91 | |
Cigna
| Facility | $659.19 | $758.68 | $758.68 | |
Cigna
| Professional | $553.84 | $758.68 | $918.47 | |
United
| Professional | $367.59 | $617.05 | $871.25 |