| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,032.00 | $1,236.59 | $8,229.00 | |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $1,112.15 | $1,526.48 | $1,760.90 | |
Cigna
| Facility | $1,340.50 | $1,340.50 | $1,340.50 | |
United
| Facility | $847.00 | $2,600.00 | $15,075.00 |