| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.46 | $5,706.00 | $11,627.00 | |
Aetna
| Facility | 53 | $111.65 | $166.02 | $344.53 |
Anthem BCBS
| Facility | $2,097.00 | $8,010.00 | $36,529.00 | |
CareSource
| Facility | $486.73 | $486.73 | $708.75 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $4,524.00 | $14,630.00 | $30,266.00 |