| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.37 | $1,386.00 | $14,063.00 | |
Anthem BCBS
| Facility | $3,650.00 | $32,251.00 | $57,499.79 | |
CareSource
| Facility | $424.07 | $540.48 | $623.63 | |
Cigna
| Facility | $18,248.20 | $18,248.20 | $18,248.20 | |
United
| Facility | $9,619.00 | $16,557.00 | $34,320.00 |