| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $758.58 | $1,778.28 | |
Aetna
| Professional | $134.90 | $398.11 | $457.09 | |
Anthem BCBS
| Facility | $478.63 | $478.63 | $1,445.44 | |
Anthem BCBS
| Professional | $93.33 | $109.65 | $229.09 | |
CareSource
| Facility | $467.74 | $7,079.46 | $10,471.29 | |
Cigna
| Facility | $316.23 | $316.23 | $1,862.09 | |
Cigna
| Professional | $144.54 | $588.84 | $1,445.44 | |
United
| Facility | $478.63 | $478.63 | $478.63 | |
United
| Professional | $87.10 | $123.03 | $229.09 |