| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $933.25 | $2,187.76 | |
Aetna
| Professional | $389.05 | $489.78 | $562.34 | |
Anthem BCBS
| Facility | $602.56 | $602.56 | $1,778.28 | |
Anthem BCBS
| Professional | $223.87 | $269.15 | $794.33 | |
CareSource
| Facility | $575.44 | $8,709.64 | $13,182.57 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
Cigna
| Professional | $316.23 | $724.44 | $1,778.28 | |
United
| Facility | $602.56 | $602.56 | $602.56 | |
United
| Professional | $251.19 | $354.81 | $602.56 |