| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.89 | $218.19 | $7,212.00 | |
Anthem BCBS
| Facility | $1,749.00 | $4,353.00 | $8,052.00 | |
CareSource
| Facility | $100.50 | $146.38 | $266.99 | |
Cigna
| Facility | $287.32 | $287.32 | $287.32 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |