| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.24 | $253.24 | $532.11 | |
Aetna
| Professional | $248.20 | $258.30 | $283.62 | |
Anthem BCBS
| Facility | $420.37 | $476.24 | $532.11 | |
Anthem BCBS
| Professional | $266.58 | $304.95 | $416.97 | |
CareSource
| Facility | $399.08 | $585.32 | $752.22 | |
CareSource
| Professional | $452.29 | $585.32 | $718.35 | |
Cigna
| Facility | $344.22 | $344.22 | $532.11 | |
Cigna
| Professional | $251.28 | $344.22 | $471.79 | |
United
| Professional | $166.79 | $265.45 | $414.43 |