| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $822.44 | $7,155.00 | $11,627.00 | |
Anthem BCBS
| Facility | $7,398.00 | $27,660.50 | $47,489.23 | |
CareSource
| Facility | $715.85 | $715.85 | $1,042.36 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,792.00 |