| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,174.90 | $2,818.38 | |
Aetna
| Professional | $501.19 | $616.60 | $724.44 | |
Anthem BCBS
| Facility | $758.58 | $758.58 | $2,290.87 | |
Anthem BCBS
| Professional | $199.53 | $199.53 | $416.87 | |
CareSource
| Facility | $741.31 | $10,964.78 | $16,595.87 | |
Cigna
| Facility | $758.58 | $758.58 | $758.58 | |
Cigna
| Professional | $263.03 | $831.76 | $2,290.87 | |
United
| Facility | $758.58 | $758.58 | $758.58 | |
United
| Professional | $316.23 | $457.09 | $758.58 |