| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,163.00 | $7,155.00 | $14,579.00 | |
Anthem BCBS
| Facility | $7,398.00 | $27,660.50 | $47,489.23 | |
CareSource
| Facility | $1,457.18 | $1,457.18 | $2,121.85 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,792.00 |