| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.00 | $343.00 | $693.00 | |
Aetna
| Professional | $329.81 | $344.26 | $372.22 | |
Anthem BCBS
| Facility | $547.47 | $620.24 | $693.00 | |
Anthem BCBS
| Professional | $338.07 | $376.46 | $519.51 | |
CareSource
| Facility | $522.59 | $762.30 | $1,039.50 | |
CareSource
| Professional | $589.04 | $762.30 | $935.55 | |
Cigna
| Facility | $386.84 | $386.84 | $693.00 | |
Cigna
| Professional | $282.39 | $386.84 | $710.89 | |
United
| Professional | $205.90 | $334.59 | $495.99 |