| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $2,818.38 | $10,471.29 | |
Anthem BCBS
| Facility | $2,884.03 | $4,466.84 | $12,022.64 | |
CareSource
| Facility | $478.63 | $660.69 | $851.14 | |
Cigna
| Facility | $891.25 | $891.25 | $2,511.89 | |
United
| Facility | $602.56 | $2,754.23 | $6,309.57 |