| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.93 | $3,725.47 | $10,268.00 | |
Anthem BCBS
| Facility | $2,003.00 | $4,142.00 | $19,117.00 | |
CareSource
| Facility | $384.76 | $461.71 | $571.46 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $3,206.00 | $6,578.00 | $10,075.00 |