| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $1,995.26 | $7,244.36 | |
Anthem BCBS
| Facility | $2,344.23 | $13,803.84 | $19,054.61 | |
CareSource
| Facility | $190.55 | $204.17 | $223.87 | |
Cigna
| Facility | $218.78 | $489.78 | $1,047.13 | |
United
| Facility | $2,630.27 | $7,762.47 | $10,964.78 |