| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.39 | $4,197.00 | $10,268.00 | |
Anthem BCBS
| Facility | $1,895.00 | $5,563.00 | $29,406.00 | |
CareSource
| Facility | $175.84 | $211.01 | $261.18 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $2,840.00 | $5,998.00 | $7,847.00 |