| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.39 | $1,177.53 | $5,320.00 | |
Aetna
| Facility | 52 | $116.12 | $163.30 | $590.64 |
Anthem BCBS
| Facility | $5,080.00 | $6,598.00 | $11,253.00 | |
CareSource
| Facility | $228.47 | $313.58 | $361.74 | |
Cigna
| Facility | $412.14 | $412.14 | $412.14 | |
Cigna
| Facility | 52 | $329.71 | $329.71 | $329.71 |
United
| Facility | $599.00 | $2,723.00 | $6,295.00 |