| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $982.90 | $6,249.00 | $17,346.37 | |
Anthem BCBS
| Facility | $3,185.00 | $10,766.00 | $60,320.00 | |
CareSource
| Facility | $532.72 | $532.72 | $775.71 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $9,541.00 | $31,432.00 | $80,030.00 |