| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.12 | $1,486.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,498.00 | $8,517.00 | |
CareSource
| Facility | $213.76 | $293.38 | $338.45 | |
Cigna
| Facility | $258.07 | $258.07 | $258.07 | |
United
| Facility | $439.00 | $1,339.00 | $5,301.00 |