| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $4,897.79 | $14,125.38 | |
Anthem BCBS
| Facility | $3,981.07 | $8,317.64 | $10,964.78 | |
CareSource
| Facility | $331.13 | $331.13 | $331.13 | |
Cigna
| Facility | $1,318.26 | $1,318.26 | $1,318.26 | |
United
| Facility | $1,548.82 | $3,715.35 | $6,456.54 |