| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.72 | $4,723.00 | $11,627.00 | |
Anthem BCBS
| Facility | $3,638.88 | $7,944.89 | $15,216.00 | |
CareSource
| Facility | $145.26 | $145.26 | $211.51 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,792.00 |