| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,019.95 | $8,511.38 | |
Anthem BCBS
| Facility | $5,888.44 | $10,715.19 | $29,512.09 | |
CareSource
| Facility | $1,949.84 | $2,818.38 | $3,388.44 | |
Cigna
| Facility | $34.67 | $3,801.89 | $3,801.89 | |
Cigna
| Facility | 62 | $2,398.83 | $2,398.83 | $2,398.83 |
United
| Facility | $602.56 | $4,466.84 | $30,199.52 |