| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $468.89 | $4,846.00 | $15,876.00 | |
Anthem BCBS
| Facility | $1,389.00 | $8,723.00 | $25,437.00 | |
CareSource
| Facility | $430.34 | $559.44 | $645.51 | |
Cigna
| Facility | $541.36 | $761.00 | $4,745.18 | |
United
| Facility | $1,500.00 | $5,995.00 | $9,243.00 |