| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.97 | $861.30 | $3,740.00 | |
Anthem BCBS
| Facility | $4,014.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $178.01 | $244.33 | $281.85 | |
Cigna
| Facility | $321.12 | $321.12 | $321.12 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |