| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $752.02 | $7,954.00 | $24,826.37 | |
Anthem BCBS
| Facility | $3,650.00 | $29,200.00 | $56,650.00 | |
CareSource
| Facility | $738.91 | $1,014.19 | $1,521.29 | |
Cigna
| Facility | $20,339.16 | $20,339.16 | $24,110.09 | |
United
| Facility | $6,475.00 | $14,460.00 | $20,461.00 |