| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $1,778.28 | $8,511.38 | |
Anthem BCBS
| Facility | $5,011.87 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $134.90 | $190.55 | $223.87 | |
Cigna
| Facility | $34.67 | $257.04 | $257.04 | |
United
| Facility | $602.56 | $2,754.23 | $6,309.57 |