| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $4,897.79 | $14,125.38 | |
Anthem BCBS
| Facility | $4,365.16 | $13,803.84 | $19,054.61 | |
CareSource
| Facility | $346.74 | $354.81 | $407.38 | |
Cigna
| Facility | $363.08 | $575.44 | $758.58 | |
United
| Facility | $3,090.30 | $6,025.60 | $10,715.19 |