| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $535.08 | $535.08 | $1,081.08 | |
Aetna
| Professional | $514.50 | $555.66 | $580.66 | |
Anthem BCBS
| Facility | $854.06 | $967.58 | $1,081.08 | |
Anthem BCBS
| Professional | $467.24 | $584.04 | $805.98 | |
CareSource
| Facility | $815.19 | $1,189.20 | $1,621.64 | |
CareSource
| Professional | $918.93 | $1,189.20 | $1,459.47 | |
Cigna
| Facility | $702.03 | $702.03 | $1,081.08 | |
Cigna
| Professional | $512.48 | $702.03 | $1,108.98 | |
United
| Professional | $321.20 | $516.82 | $725.93 |