| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $691.83 | $2,570.40 | |
Aetna
| Professional | $501.19 | $588.84 | $741.31 | |
Anthem BCBS
| Facility | $467.74 | $831.76 | $977.24 | |
Anthem BCBS
| Professional | $302.00 | $302.00 | $478.63 | |
CareSource
| Facility | $524.81 | $524.81 | $524.81 | |
Cigna
| Facility | $1,174.90 | $1,659.59 | $2,290.87 | |
Cigna
| Professional | $870.96 | $933.25 | $1,148.15 | |
Kaiser Permanente
| Professional | $831.76 | $870.96 | $977.24 | |
United
| Facility | $416.87 | $691.83 | $758.58 | |
United
| Professional | $316.23 | $457.09 | $1,096.48 |