| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.46 | $1,187.20 | $8,229.00 | |
Anthem BCBS
| Facility | $5,830.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $343.25 | $472.54 | $545.11 | |
Cigna
| Facility | $621.05 | $621.05 | $621.05 | |
United
| Facility | $631.00 | $1,121.00 | $8,582.00 |