| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $411.82 | $642.50 | $8,229.00 | |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $402.46 | $552.38 | $637.22 | |
Cigna
| Facility | $485.57 | $485.57 | $485.57 | |
United
| Facility | $631.00 | $1,121.00 | $8,582.00 |