| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.19 | $788.76 | $5,320.00 | |
Aetna
| Facility | 52 | $88.37 | $106.50 | $215.95 |
Anthem BCBS
| Facility | $1,258.00 | $2,565.00 | $5,830.00 | |
CareSource
| Facility | $174.50 | $239.51 | $276.30 | |
Cigna
| Facility | $215.14 | $314.79 | $314.79 | |
Cigna
| Facility | 52 | $251.83 | $251.83 | $251.83 |
United
| Facility | $739.00 | $3,828.00 | $8,582.00 |