| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $922.62 | $3,000.00 | $11,093.00 | |
Anthem BCBS
| Facility | $3,473.00 | $7,890.00 | $30,900.00 | |
CareSource
| Facility | $924.95 | $1,269.53 | $1,904.30 | |
Cigna
| Facility | $4,705.12 | $4,705.12 | $5,577.46 | |
United
| Facility | $4,370.00 | $10,069.00 | $15,750.00 |