| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $2,630.27 | $8,511.38 | |
Anthem BCBS
| Facility | $5,888.44 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $446.68 | $630.96 | $758.58 | |
Cigna
| Facility | $34.67 | $851.14 | $851.14 | |
Cigna
| Facility | 53 | $169.82 | $169.82 | $169.82 |
United
| Facility | $1,318.26 | $15,135.61 | $33,113.11 |