| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $3,467.37 | $4,897.79 | |
Anthem BCBS
| Facility | $4,265.80 | $8,317.64 | $10,471.29 | |
CareSource
| Facility | $331.13 | $346.74 | $389.05 | |
Cigna
| Facility | $346.74 | $588.84 | $977.24 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |