| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.67 | $8,956.00 | $18,353.43 | |
Anthem BCBS
| Facility | $2,097.00 | $8,173.00 | $36,529.00 | |
CareSource
| Facility | $455.71 | $455.71 | $663.58 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $4,524.00 | $14,630.00 | $30,266.00 |