| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $1,513.56 | $5,495.41 | |
Anthem BCBS
| Facility | $1,479.11 | $2,398.83 | $4,365.16 | |
CareSource
| Facility | $67.61 | $87.10 | $102.33 | |
Cigna
| Facility | $128.82 | $128.82 | $1,659.59 | |
United
| Facility | $50.12 | $602.56 | $3,162.28 |