| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $2,951.21 | $11,220.18 | |
Anthem BCBS
| Facility | $4,265.80 | $8,709.64 | $11,220.18 | |
CareSource
| Facility | $251.19 | $263.03 | $295.12 | |
Cigna
| Facility | $436.52 | $436.52 | $1,148.15 | |
Cigna
| Facility | 52 | $354.81 | $354.81 | $354.81 |
United
| Facility | $1,412.54 | $3,715.35 | $6,456.54 |