| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.16 | $741.16 | $3,740.00 | |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $406.90 | $584.32 | $674.04 | |
Cigna
| Facility | $767.96 | $767.96 | $767.96 | |
Cigna
| Facility | AS | $76.80 | $76.80 | $76.80 |
United
| Facility | $973.00 | $4,639.00 | $12,296.00 |