| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.24 | $1,386.00 | $7,212.00 | |
Anthem BCBS
| Facility | $1,521.00 | $15,205.00 | $25,750.00 | |
CareSource
| Facility | $188.63 | $249.66 | $277.39 | |
Cigna
| Facility | $4,481.02 | $4,481.02 | $4,481.02 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |