| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Anthem BCBS
| Facility | $36,317.69 | $40,353.00 | $63,632.00 | |
Cigna
| Facility | $685.61 | $685.61 | $685.61 | |
United
| Facility | $12,629.00 | $12,629.00 | $12,629.00 |