| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $708.05 | $3,396.00 | $14,063.00 | |
Anthem BCBS
| Facility | $2,754.00 | $6,653.00 | $11,752.00 | |
CareSource
| Facility | $738.25 | $972.75 | $1,459.13 | |
Cigna
| Facility | $1,123.45 | $1,123.45 | $1,331.74 | |
United
| Facility | $3,364.00 | $6,032.00 | $10,413.00 |