| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.32 | $518.73 | $8,229.00 | |
Anthem BCBS
| Facility | $5,350.00 | $11,840.99 | $35,746.65 | |
CareSource
| Facility | $331.27 | $452.30 | $521.76 | |
Cigna
| Facility | $398.90 | $398.90 | $398.90 | |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |