| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.58 | $3,847.00 | $14,088.24 | |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $428.02 | $587.47 | $677.69 | |
Cigna
| Facility | $772.10 | $772.10 | $772.10 | |
United
| Facility | $973.00 | $4,639.00 | $12,296.00 |