| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $514.17 | $1,628.00 | $17,225.00 | |
Anthem BCBS
| Facility | $1,646.00 | $33,179.40 | $50,875.00 | |
CareSource
| Facility | $426.39 | $543.44 | $627.04 | |
Cigna
| Facility | $10,179.12 | $10,179.12 | $10,179.12 | |
United
| Facility | $10,855.00 | $16,525.00 | $25,270.00 |