| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.06 | $787.00 | $3,740.00 | |
Anthem BCBS
| Facility | $343.21 | $1,036.13 | $11,253.00 | |
CareSource
| Facility | $122.85 | $184.18 | $212.48 | |
Cigna
| Facility | $159.96 | $159.96 | $171.10 | |
United
| Facility | $50.00 | $668.00 | $3,176.00 |