| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.59 | $5,355.00 | $10,817.74 | |
Anthem BCBS
| Facility | $1,152.00 | $2,792.00 | $8,800.00 | |
CareSource
| Facility | $220.48 | $220.48 | $321.04 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,106.00 | $2,048.00 | $4,201.00 |