| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $1,148.15 | $2,754.23 | |
Aetna
| Professional | $489.78 | $602.56 | $707.95 | |
Anthem BCBS
| Facility | $741.31 | $741.31 | $2,238.72 | |
Anthem BCBS
| Professional | $407.38 | $549.54 | $794.33 | |
CareSource
| Facility | $724.44 | $10,715.19 | $16,218.10 | |
Cigna
| Facility | $741.31 | $741.31 | $741.31 | |
Cigna
| Professional | $575.44 | $912.01 | $2,238.72 | |
United
| Facility | $741.31 | $741.31 | $741.31 | |
United
| Professional | $309.03 | $446.68 | $741.31 |