| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.00 | $1,113.54 | $8,229.00 | |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $1,032.55 | $1,417.23 | $1,634.87 | |
Cigna
| Facility | $1,252.21 | $1,252.21 | $1,252.21 | |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |