| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.06 | $459.96 | $5,634.00 | |
Anthem BCBS
| Facility | $1,682.00 | $3,950.00 | $13,810.27 | |
CareSource
| Facility | $323.69 | $450.23 | $662.09 | |
Cigna
| Facility | $2,218.40 | $2,218.40 | $2,218.40 | |
United
| Facility | $2,400.00 | $3,870.00 | $5,490.00 |