| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $794.33 | $1,862.09 | |
Aetna
| Professional | $331.13 | $407.38 | $489.78 | |
Anthem BCBS
| Facility | $501.19 | $501.19 | $1,513.56 | |
Anthem BCBS
| Professional | $41.69 | $199.53 | $389.05 | |
CareSource
| Facility | $489.78 | $7,244.36 | $43,651.58 | |
Cigna
| Facility | $323.59 | $501.19 | $501.19 | |
Cigna
| Professional | $263.03 | $524.81 | $660.69 | |
United
| Facility | $177.83 | $501.19 | $501.19 | |
United
| Professional | $213.80 | $302.00 | $501.19 |