| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.82 | $5,354.00 | $19,598.88 | |
Anthem BCBS
| Facility | $2,575.00 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $673.80 | $951.26 | $1,426.89 | |
Cigna
| Facility | $6,405.61 | $6,405.61 | $6,405.61 | |
United
| Facility | $4,699.00 | $9,550.00 | $15,750.00 |