| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $656.22 | $9,040.00 | $12,672.00 | |
Anthem BCBS
| Facility | $1,895.00 | $6,462.00 | $29,406.00 | |
CareSource
| Facility | $354.22 | $354.22 | $515.79 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $4,873.00 | $10,707.00 | $15,469.00 |