| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.00 | $2,139.64 | $8,229.00 | |
Anthem BCBS
| Facility | $2,949.00 | $5,174.83 | $10,099.00 | |
CareSource
| Facility | $1,984.03 | $2,723.18 | $3,141.38 | |
Cigna
| Facility | $2,393.94 | $2,393.94 | $2,393.94 | |
United
| Facility | $405.00 | $2,200.00 | $27,879.00 |