| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.04 | $425.04 | $858.76 | |
Aetna
| Professional | $408.69 | $441.39 | $465.28 | |
Anthem BCBS
| Facility | $678.42 | $768.59 | $858.76 | |
Anthem BCBS
| Professional | $430.25 | $496.06 | $700.15 | |
CareSource
| Facility | $654.69 | $944.64 | $1,288.14 | |
CareSource
| Professional | $729.95 | $944.64 | $1,159.33 | |
Cigna
| Facility | $579.51 | $579.51 | $858.76 | |
Cigna
| Professional | $423.04 | $579.51 | $880.93 | |
United
| Professional | $270.89 | $428.42 | $632.64 |