| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.01 | $4,723.00 | $11,627.00 | |
Anthem BCBS
| Facility | $1,965.67 | $4,089.29 | $7,640.32 | |
CareSource
| Facility | $264.88 | $325.86 | $403.33 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,111.00 |