| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $806.10 | $892.45 | $8,229.00 | |
Anthem BCBS
| Facility | $5,049.25 | $9,122.94 | $15,243.15 | |
CareSource
| Facility | $827.54 | $1,135.84 | $1,310.28 | |
Cigna
| Facility | $993.10 | $993.10 | $993.10 | |
United
| Facility | $405.00 | $2,513.00 | $27,879.00 |