| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.29 | $376.29 | $790.68 | |
Aetna
| Professional | $351.99 | $376.29 | $391.34 | |
Anthem BCBS
| Facility | $624.64 | $707.66 | $790.68 | |
Anthem BCBS
| Professional | $396.13 | $424.98 | $573.72 | |
CareSource
| Facility | $593.01 | $869.75 | $1,106.95 | |
CareSource
| Professional | $672.08 | $869.75 | $1,067.42 | |
Cigna
| Facility | $564.36 | $564.36 | $790.68 | |
Cigna
| Professional | $411.98 | $564.36 | $811.09 | |
United
| Professional | $222.28 | $394.46 | $558.82 |