| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $1,778.28 | $8,511.38 | |
Anthem BCBS
| Facility | $3,388.44 | $5,495.41 | $10,715.19 | |
CareSource
| Facility | $223.87 | $275.42 | $389.05 | |
Cigna
| Facility | $34.67 | $436.52 | $436.52 | |
Cigna
| Facility | 52 | $354.81 | $354.81 | $354.81 |
United
| Facility | $524.81 | $1,445.44 | $5,248.07 |