| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $794.33 | $5,495.41 | |
Anthem BCBS
| Facility | $1,584.89 | $2,630.27 | $5,495.41 | |
CareSource
| Facility | $117.49 | $144.54 | $204.17 | |
Cigna
| Facility | $234.42 | $234.42 | $1,659.59 | |
United
| Facility | $524.81 | $1,348.96 | $5,248.07 |