| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $321.18 | $321.18 | $321.18 | |
Aetna
| Professional | $318.00 | $318.00 | $321.18 | |
Anthem BCBS
| Facility | $318.00 | $318.00 | $613.74 | |
Anthem BCBS
| Professional | $318.00 | $318.00 | $451.56 | |
CareSource
| Facility | $318.00 | $318.00 | $477.00 | |
CareSource
| Professional | $318.00 | $318.00 | $381.60 | |
Cigna
| Facility | $318.00 | $318.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $406.82 | |
United
| Professional | $318.00 | $318.00 | $477.00 |