| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.63 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $1,682.00 | $3,677.00 | $5,445.00 | |
CareSource
| Facility | $131.03 | $167.00 | $192.69 | |
Cigna
| Facility | $279.70 | $279.70 | $279.70 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |