| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $645.65 | $1,122.02 | |
Aetna
| Professional | $309.03 | $371.54 | $457.09 | |
Anthem BCBS
| Facility | $389.05 | $467.74 | $489.78 | |
Anthem BCBS
| Professional | $239.88 | $281.84 | $338.84 | |
CareSource
| Facility | $549.54 | $6,918.31 | $41,686.94 | |
CareSource
| Professional | $512.86 | $645.65 | $8,709.64 | |
Cigna
| Facility | $302.00 | $741.31 | $741.31 | |
Cigna
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $194.98 | $281.84 | $467.74 |