| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.74 | $1,478.09 | $11,093.00 | |
Anthem BCBS
| Facility | $1,521.00 | $15,205.00 | $25,750.00 | |
CareSource
| Facility | $173.00 | $220.49 | $1,791.75 | |
Cigna
| Facility | $3,251.04 | $3,251.04 | $3,251.04 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |