| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,892.83 | $6,944.00 | $11,581.00 | |
Anthem BCBS
| Facility | $5,577.00 | $13,964.62 | $26,394.04 | |
CareSource
| Facility | $1,110.58 | $1,617.15 | $2,041.50 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,771.00 | $3,098.00 | $6,792.00 |