| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $481.94 | $481.94 | $762.72 | |
Aetna
| Professional | $407.28 | $481.94 | $702.53 | |
Anthem BCBS
| Facility | $602.54 | $682.63 | $762.72 | |
Anthem BCBS
| Professional | $733.00 | $800.91 | $1,290.74 | |
CareSource
| Facility | $648.30 | $898.49 | $1,144.08 | |
CareSource
| Professional | $648.30 | $838.99 | $1,029.67 | |
Cigna
| Facility | $762.72 | $854.15 | $854.15 | |
Cigna
| Professional | $623.53 | $854.15 | $1,057.20 | |
United
| Professional | $420.18 | $749.69 | $1,045.24 |