| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.35 | $787.00 | $3,740.00 | |
Anthem BCBS
| Facility | $343.21 | $1,036.13 | $11,253.00 | |
CareSource
| Facility | $313.83 | $466.82 | $538.50 | |
Cigna
| Facility | $409.31 | $409.31 | $409.31 | |
Cigna
| Facility | 62 | $250.96 | $250.96 | $250.96 |
Cigna
| Facility | AS | $40.15 | $40.15 | $40.15 |
United
| Facility | $50.00 | $668.00 | $3,176.00 |