| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $1,862.09 | $5,623.41 | |
Anthem BCBS
| Facility | $2,187.76 | $8,317.64 | $10,471.29 | |
CareSource
| Facility | $128.82 | $131.83 | $151.36 | |
Cigna
| Facility | $223.87 | $223.87 | $1,148.15 | |
United
| Facility | $1,584.89 | $5,623.41 | $10,715.19 |