| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $1,778.28 | $8,511.38 | |
Anthem BCBS
| Facility | $9,549.93 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $123.03 | $151.36 | $208.93 | |
Cigna
| Facility | $34.67 | $239.88 | $239.88 | |
United
| Facility | $50.12 | $398.11 | $3,162.28 |