| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,147.43 | $8,553.00 | $11,627.00 | |
Anthem BCBS
| Facility | $8,566.00 | $54,977.04 | $93,994.63 | |
CareSource
| Facility | $1,002.86 | $1,002.86 | $1,460.30 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,792.00 |