| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $495.42 | $637.00 | $8,229.00 | |
Aetna
| Facility | 53 | $99.08 | $102.29 | $136.00 |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $477.19 | $650.96 | $750.92 | |
Cigna
| Facility | $572.48 | $572.48 | $701.19 | |
Cigna
| Facility | 53 | $111.77 | $111.77 | $111.77 |
United
| Facility | $1,322.00 | $15,075.00 | $33,259.00 |