| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.72 | $3,907.00 | $9,863.00 | |
Anthem BCBS
| Facility | $891.00 | $2,170.00 | $5,211.00 | |
CareSource
| Facility | $106.12 | $154.51 | $154.51 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $444.00 | $975.00 | $2,914.00 |