| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.58 | $2,849.00 | $10,268.00 | |
Anthem BCBS
| Facility | $1,760.00 | $3,576.00 | $14,996.00 | |
CareSource
| Facility | $156.38 | $187.67 | $293.24 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $2,233.00 | $4,383.00 | $6,522.00 |