| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $1,047.13 | $2,511.89 | |
Aetna
| Professional | $446.68 | $549.54 | $660.69 | |
Anthem BCBS
| Facility | $676.08 | $676.08 | $2,041.74 | |
Anthem BCBS
| Professional | $181.97 | $181.97 | $380.19 | |
CareSource
| Facility | $660.69 | $9,772.37 | $14,791.08 | |
Cigna
| Facility | $676.08 | $676.08 | $676.08 | |
Cigna
| Professional | $239.88 | $831.76 | $2,041.74 | |
United
| Facility | $676.08 | $676.08 | $676.08 | |
United
| Professional | $281.84 | $407.38 | $676.08 |