| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.99 | $8,546.18 | $19,877.75 | |
Anthem BCBS
| Facility | $3,473.00 | $7,890.00 | $30,900.00 | |
CareSource
| Facility | $708.20 | $972.03 | $1,458.05 | |
Cigna
| Facility | $6,121.09 | $6,121.09 | $7,255.95 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |