| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.38 | $2,849.00 | $9,534.00 | |
Anthem BCBS
| Facility | $937.00 | $2,012.00 | $3,943.00 | |
CareSource
| Facility | $288.01 | $419.40 | $419.40 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,020.00 | $1,930.00 | $4,067.00 |