| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.99 | $2,113.00 | $10,268.00 | |
Anthem BCBS
| Facility | $711.00 | $2,059.00 | $2,550.00 | |
CareSource
| Facility | $98.84 | $143.91 | $143.91 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $444.00 | $975.00 | $2,914.00 |