| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,855.78 | $8,731.25 | $11,627.00 | |
Anthem BCBS
| Facility | $2,084.00 | $4,426.00 | $19,117.00 | |
CareSource
| Facility | $2,484.89 | $3,618.35 | $4,567.82 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,792.00 |