| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.83 | $4,723.00 | $11,627.00 | |
Anthem BCBS
| Facility | $562.85 | $1,163.83 | $2,389.00 | |
CareSource
| Facility | $677.93 | $987.17 | $987.17 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $2,934.00 | $6,111.00 |