| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513.21 | $2,785.00 | $9,516.00 | |
Anthem BCBS
| Facility | $1,145.00 | $2,786.00 | $8,800.00 | |
CareSource
| Facility | $474.17 | $569.00 | $704.27 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,689.00 | $2,665.00 | $5,268.00 |