| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.04 | $2,849.00 | $9,504.00 | |
Anthem BCBS
| Facility | $1,145.00 | $2,786.00 | $8,800.00 | |
CareSource
| Facility | $236.67 | $284.00 | $443.76 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $2,233.00 | $4,383.00 | $6,522.00 |