| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $3,467.37 | $14,125.38 | |
Anthem BCBS
| Facility | $4,365.16 | $13,803.84 | $19,054.61 | |
CareSource
| Facility | $616.60 | $676.08 | $776.25 | |
Cigna
| Facility | $645.65 | $1,096.48 | $1,548.82 | |
United
| Facility | $2,570.40 | $3,715.35 | $6,456.54 |