| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $566.74 | $3,396.00 | $14,063.00 | |
Anthem BCBS
| Facility | $2,807.00 | $7,833.00 | $14,645.00 | |
CareSource
| Facility | $568.28 | $780.00 | $1,170.00 | |
Cigna
| Facility | $2,116.34 | $2,116.34 | $2,508.71 | |
United
| Facility | $2,719.19 | $5,174.00 | $9,243.00 |