| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.24 | $314.24 | $660.30 | |
Aetna
| Professional | $298.94 | $320.52 | $351.95 | |
Anthem BCBS
| Facility | $521.64 | $590.97 | $660.30 | |
Anthem BCBS
| Professional | $330.81 | $368.99 | $509.20 | |
CareSource
| Facility | $495.23 | $726.33 | $924.42 | |
CareSource
| Professional | $561.26 | $726.33 | $891.41 | |
Cigna
| Facility | $427.13 | $427.13 | $660.30 | |
Cigna
| Professional | $311.80 | $427.13 | $677.34 | |
United
| Professional | $200.88 | $329.41 | $464.32 |