| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.52 | $246.52 | $1,075.00 | |
Aetna
| Professional | $237.04 | $256.00 | $389.90 | |
Anthem BCBS
| Facility | $393.48 | $445.77 | $498.07 | |
Anthem BCBS
| Professional | $233.02 | $291.27 | $393.22 | |
CareSource
| Facility | $375.59 | $547.88 | $747.11 | |
CareSource
| Professional | $423.36 | $547.88 | $672.39 | |
Cigna
| Facility | $278.04 | $278.04 | $498.07 | |
Cigna
| Professional | $202.97 | $278.04 | $510.92 | |
United
| Facility | $150.32 | $258.99 | $352.07 | |
United
| Professional | $147.99 | $238.11 | $347.11 |