| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.21 | $2,785.00 | $9,516.00 | |
Anthem BCBS
| Facility | $937.00 | $2,012.00 | $3,943.00 | |
CareSource
| Facility | $113.94 | $165.90 | $165.90 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $444.00 | $975.00 | $2,914.00 |