| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.57 | $1,654.92 | $8,229.00 | |
Anthem BCBS
| Facility | $3,565.00 | $6,125.00 | $14,034.00 | |
CareSource
| Facility | $388.16 | $558.96 | $644.79 | |
Cigna
| Facility | $734.64 | $734.64 | $734.64 | |
United
| Facility | $739.00 | $3,828.00 | $8,979.00 |