| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.50 | $288.50 | $582.88 | |
Aetna
| Professional | $277.39 | $293.91 | $313.07 | |
Anthem BCBS
| Facility | $460.48 | $521.67 | $582.88 | |
Anthem BCBS
| Professional | $253.32 | $316.64 | $449.64 | |
CareSource
| Facility | $439.55 | $641.16 | $874.32 | |
CareSource
| Professional | $495.45 | $641.16 | $786.89 | |
Cigna
| Facility | $325.37 | $325.37 | $582.88 | |
Cigna
| Professional | $237.52 | $325.37 | $597.92 | |
United
| Professional | $173.18 | $278.66 | $400.31 |