| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $2,630.27 | $5,011.87 | |
Anthem BCBS
| Facility | $2,344.23 | $8,317.64 | $10,471.29 | |
CareSource
| Facility | $138.04 | $141.25 | $162.18 | |
Cigna
| Facility | $158.49 | $234.42 | $389.05 | |
United
| Facility | $1,412.54 | $3,715.35 | $6,456.54 |