| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.35 | $2,936.00 | $9,534.00 | |
Anthem BCBS
| Facility | $772.00 | $2,141.00 | $3,111.00 | |
CareSource
| Facility | $73.40 | $106.89 | $106.89 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $444.00 | $975.00 | $2,914.00 |