| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $632.84 | $4,846.00 | $24,826.37 | |
Anthem BCBS
| Facility | $3,473.00 | $7,890.00 | $30,900.00 | |
CareSource
| Facility | $627.44 | $861.20 | $1,291.80 | |
Cigna
| Facility | $6,130.02 | $6,130.02 | $7,266.53 | |
United
| Facility | $3,364.00 | $6,032.00 | $10,413.00 |