| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $1,862.09 | $5,623.41 | |
Anthem BCBS
| Facility | $2,398.83 | $18,197.01 | $26,302.68 | |
CareSource
| Facility | $302.00 | $309.03 | $354.81 | |
Cigna
| Facility | $3,388.44 | $3,388.44 | $3,388.44 | |
United
| Facility | $3,388.44 | $6,025.60 | $10,715.19 |