| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.46 | $637.00 | $2,747.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $117.14 | $172.41 | $215.51 | |
Cigna
| Facility | $152.81 | $152.81 | $171.17 | |
Cigna
| Facility | AS | $14.95 | $14.95 | $14.95 |
United
| Facility | $50.00 | $668.00 | $3,176.00 |