| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $505.24 | $3,998.31 | $13,054.12 | |
Anthem BCBS
| Facility | $3,473.00 | $6,474.00 | $13,758.00 | |
CareSource
| Facility | $504.85 | $692.93 | $1,039.40 | |
Cigna
| Facility | $2,116.34 | $2,116.34 | $2,508.71 | |
United
| Facility | $3,932.00 | $8,348.00 | $12,569.00 |