| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.00 | $2,113.00 | $10,268.00 | |
Anthem BCBS
| Facility | $1,145.00 | $2,786.00 | $8,800.00 | |
CareSource
| Facility | $164.95 | $197.94 | $245.00 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,689.00 | $2,665.00 | $5,268.00 |