| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.76 | $410.76 | $829.91 | |
Aetna
| Professional | $394.96 | $411.37 | $486.77 | |
Anthem BCBS
| Facility | $655.63 | $742.77 | $829.91 | |
Anthem BCBS
| Professional | $331.87 | $414.84 | $572.47 | |
CareSource
| Facility | $684.93 | $912.90 | $1,244.86 | |
CareSource
| Professional | $705.42 | $912.90 | $1,120.38 | |
Cigna
| Facility | $460.00 | $460.00 | $829.91 | |
Cigna
| Professional | $335.80 | $460.00 | $753.42 | |
United
| Professional | $227.80 | $397.49 | $547.94 |