| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.13 | $2,602.00 | $10,635.00 | |
Anthem BCBS
| Facility | $711.00 | $2,059.00 | $2,550.00 | |
CareSource
| Facility | $70.89 | $85.07 | $105.30 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $444.00 | $979.00 | $3,218.00 |