| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $669.27 | $3,660.00 | $11,581.00 | |
Anthem BCBS
| Facility | $1,907.98 | $3,969.26 | $7,416.07 | |
CareSource
| Facility | $393.72 | $573.30 | $723.75 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,792.00 |