| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.13 | $557.00 | $5,320.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,389.00 | |
CareSource
| Facility | $210.86 | $257.25 | $303.57 | |
Cigna
| Facility | $338.10 | $338.10 | $338.10 | |
United
| Facility | $739.00 | $3,828.00 | $11,156.00 |