| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.34 | $3,881.43 | $14,060.00 | |
Anthem BCBS
| Facility | $1,411.35 | $7,558.00 | $18,942.00 | |
CareSource
| Facility | $498.18 | $683.77 | $1,025.66 | |
Cigna
| Facility | $2,116.34 | $2,116.34 | $2,508.71 | |
United
| Facility | $3,932.00 | $8,348.00 | $12,569.00 |