| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $3,801.89 | $5,623.41 | |
Anthem BCBS
| Facility | $6,456.54 | $14,454.40 | $19,498.45 | |
CareSource
| Facility | $239.88 | $269.15 | $302.00 | |
Cigna
| Facility | $295.12 | $457.09 | $630.96 | |
United
| Facility | $977.24 | $2,137.96 | $5,754.40 |