| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $8,128.31 | $54,954.09 | |
Anthem BCBS
| Facility | $28,183.83 | $56,234.13 | $97,723.72 | |
CareSource
| Facility | $512.86 | $562.34 | $616.60 | |
Cigna
| Facility | $33,884.42 | $33,884.42 | $33,884.42 | |
United
| Facility | $14,454.40 | $24,547.09 | $44,668.36 |