| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.76 | $2,849.00 | $10,268.00 | |
Anthem BCBS
| Facility | $937.00 | $2,059.00 | $2,412.00 | |
CareSource
| Facility | $58.83 | $70.59 | $87.37 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $480.00 | $1,017.00 | $3,398.00 |