| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $4,168.69 | $9,332.54 | |
Anthem BCBS
| Facility | $2,344.23 | $8,317.64 | $10,471.29 | |
CareSource
| Facility | $223.87 | $229.09 | $263.03 | |
Cigna
| Facility | $389.05 | $758.58 | $1,148.15 | |
Cigna
| Facility | 52 | $309.03 | $309.03 | $309.03 |
United
| Facility | $1,412.54 | $3,715.35 | $6,456.54 |