| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.31 | $2,113.00 | $10,268.00 | |
Anthem BCBS
| Facility | $1,861.00 | $3,554.00 | $19,117.00 | |
CareSource
| Facility | $294.36 | $353.23 | $469.14 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $2,233.00 | $4,383.00 | $6,522.00 |