| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $8,913.00 | $11,735.00 | |
Anthem BCBS
| Facility | $3,185.00 | $9,153.00 | $60,320.00 | |
CareSource
| Facility | $318.55 | $318.55 | $463.86 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $9,541.00 | $24,620.00 | $46,132.00 |