| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.93 | $787.00 | $5,320.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,389.00 | |
CareSource
| Facility | $185.29 | $254.32 | $293.38 | |
Cigna
| Facility | $223.26 | $223.26 | $270.55 | |
United
| Facility | $739.00 | $3,828.00 | $8,582.00 |