| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.06 | $4,723.00 | $11,627.00 | |
Anthem BCBS
| Facility | $5,129.00 | $14,299.15 | $25,723.30 | |
CareSource
| Facility | $252.30 | $302.76 | $374.73 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,111.00 |