| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $4,897.79 | $18,620.87 | |
Anthem BCBS
| Facility | $10,232.93 | $25,703.96 | $35,481.34 | |
CareSource
| Facility | $354.81 | $380.19 | $416.87 | |
Cigna
| Facility | $407.38 | $933.25 | $11,748.98 | |
United
| Facility | $4,786.30 | $13,182.57 | $20,417.38 |