| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,173.00 | $12,411.48 | $16,857.34 | |
Anthem BCBS
| Facility | $2,575.00 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $1,083.69 | $1,529.91 | $2,294.87 | |
Cigna
| Facility | $6,405.61 | $6,405.61 | $6,405.61 | |
United
| Facility | $4,699.00 | $9,550.00 | $15,750.00 |