| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $756.00 | $1,624.62 | $9,128.46 | |
Anthem BCBS
| Facility | $2,088.00 | $3,967.00 | $8,800.00 | |
CareSource
| Facility | $674.36 | $963.97 | $1,112.01 | |
Cigna
| Facility | $845.53 | $845.53 | $950.00 | |
Cigna
| Facility | AS | $83.96 | $83.96 | $83.96 |
United
| Facility | $842.00 | $4,539.00 | $10,113.00 |