| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.68 | $2,547.00 | $11,581.00 | |
Anthem BCBS
| Facility | $937.00 | $2,059.00 | $2,412.00 | |
CareSource
| Facility | $201.76 | $293.79 | $370.88 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $4,070.00 | $8,796.00 | $14,134.00 |