| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $640.85 | $760.45 | $8,229.00 | |
Aetna
| Facility | 53 | $128.16 | $132.18 | $152.09 |
Anthem BCBS
| Facility | $16,584.00 | $25,962.00 | $35,156.53 | |
CareSource
| Facility | $612.85 | $841.16 | $970.35 | |
Cigna
| Facility | $740.59 | $740.59 | $740.59 | |
Cigna
| Facility | 53 | $143.91 | $143.91 | $143.91 |
United
| Facility | $1,300.00 | $6,818.00 | $33,259.00 |