| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $776.25 | $891.25 | |
Aetna
| Professional | $32.36 | $44.67 | $891.25 | |
Anthem BCBS
| Professional | $354.81 | $524.81 | $741.31 | |
CareSource
| Facility | $112.20 | $128.82 | $389.05 | |
Cigna
| Professional | $380.19 | $588.84 | $891.25 | |
United
| Professional | $39.81 | $50.12 | $70.79 |