| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.92 | $180.94 | $3,740.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $90.20 | $123.82 | $142.82 | |
Cigna
| Facility | $152.36 | $162.72 | $162.72 | |
United
| Facility | $523.00 | $1,450.00 | $5,301.00 |