| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $2,747.00 | $8,229.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,870.00 | |
CareSource
| Facility | $2,142.56 | $2,921.84 | $3,370.56 | |
Cigna
| Facility | $2,563.08 | $2,563.08 | $2,563.08 | |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |