| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.57 | $2,318.00 | $14,063.00 | |
Anthem BCBS
| Facility | $4,146.00 | $9,219.00 | $30,900.00 | |
CareSource
| Facility | $735.93 | $1,010.10 | $1,515.15 | |
Cigna
| Facility | $6,238.41 | $6,238.41 | $7,395.02 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |