| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.42 | $4,180.10 | $11,093.00 | |
Anthem BCBS
| Facility | $1,683.00 | $11,305.00 | $30,091.00 | |
CareSource
| Facility | $391.36 | $508.77 | $5,040.75 | |
Cigna
| Facility | $735.65 | $761.00 | $5,077.88 | |
United
| Facility | $3,300.00 | $11,200.00 | $17,416.00 |