| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $5,370.32 | $15,135.61 | |
Anthem BCBS
| Facility | $6,760.83 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $331.13 | $467.74 | $549.54 | |
Cigna
| Facility | $34.67 | $630.96 | $630.96 | |
United
| Facility | $1,174.90 | $6,760.83 | $15,488.17 |