| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.07 | $531.30 | $9,504.00 | |
Anthem BCBS
| Facility | $937.00 | $1,927.00 | $3,943.00 | |
CareSource
| Facility | $91.88 | $133.79 | $133.79 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $398.88 | $965.00 | $2,914.00 |