| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $2,398.83 | $16,218.10 | |
Anthem BCBS
| Facility | $4,168.69 | $28,183.83 | $39,810.72 | |
CareSource
| Facility | $912.01 | $1,000.00 | $1,122.02 | |
Cigna
| Facility | $4,677.35 | $4,677.35 | $5,623.41 | |
United
| Facility | $4,466.84 | $9,549.93 | $16,218.10 |