| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $3,467.37 | $7,244.36 | |
Anthem BCBS
| Facility | $2,089.30 | $4,466.84 | $8,317.64 | |
CareSource
| Facility | $114.82 | $114.82 | $120.23 | |
Cigna
| Facility | $288.40 | $288.40 | $288.40 | |
United
| Facility | $331.13 | $2,137.96 | $5,754.40 |