| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $620.16 | $2,976.29 | $10,581.71 | |
Anthem BCBS
| Facility | $1,411.35 | $7,558.00 | $18,942.00 | |
CareSource
| Facility | $619.04 | $849.66 | $1,274.49 | |
Cigna
| Facility | $2,116.34 | $2,116.34 | $2,508.71 | |
United
| Facility | $3,932.00 | $8,348.00 | $12,569.00 |