| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.27 | $301.22 | $312.38 | |
Aetna
| Professional | $263.67 | $301.22 | $313.07 | |
Anthem BCBS
| Facility | $364.82 | $586.05 | $615.95 | |
Anthem BCBS
| Professional | $273.73 | $458.68 | $458.68 | |
CareSource
| Facility | $439.55 | $816.03 | $938.69 | |
CareSource
| Professional | $556.76 | $728.60 | $967.00 | |
Cigna
| Facility | $325.37 | $325.37 | $686.78 | |
Cigna
| Professional | $237.52 | $325.37 | $2,795.50 | |
Molina
| Professional | $376.11 | $458.68 | $573.35 | |
United
| Professional | $194.92 | $289.77 | $468.85 |