| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $807.52 | $6,075.00 | $11,627.00 | |
Anthem BCBS
| Facility | $3,185.00 | $9,153.00 | $60,320.00 | |
CareSource
| Facility | $454.06 | $454.06 | $661.17 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $5,778.00 | $14,170.00 | $25,361.00 |