| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.72 | $1,443.23 | $8,229.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $100.28 | $137.65 | $158.78 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Cigna
| Facility | 52 | $94.25 | $94.25 | $94.25 |
United
| Facility | $523.00 | $794.00 | $5,301.00 |