| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,065.97 | $8,553.00 | $11,627.00 | |
Anthem BCBS
| Facility | $2,009.00 | $3,974.00 | $19,117.00 | |
CareSource
| Facility | $926.68 | $1,349.37 | $1,703.46 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $4,070.00 | $8,796.00 | $13,009.00 |