| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $723.17 | $992.59 | $8,229.00 | |
Anthem BCBS
| Facility | $5,350.00 | $16,225.70 | $48,983.60 | |
CareSource
| Facility | $701.81 | $957.73 | $1,104.81 | |
Cigna
| Facility | $843.78 | $843.78 | $843.78 | |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |