| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.73 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $5,470.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $263.20 | $263.20 | $281.50 | |
Cigna
| Facility | $231.48 | $231.48 | $231.48 | |
United
| Facility | $739.00 | $3,828.00 | $8,582.00 |