| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.15 | $676.21 | $3,740.00 | |
Anthem BCBS
| Facility | $3,565.00 | $6,084.00 | $14,034.00 | |
CareSource
| Facility | $183.90 | $268.08 | $309.26 | |
Cigna
| Facility | $352.34 | $352.34 | $352.34 | |
United
| Facility | $50.00 | $668.00 | $3,176.00 |