| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.40 | $1,050.80 | $11,093.00 | |
Anthem BCBS
| Facility | $970.00 | $5,790.87 | $8,240.00 | |
CareSource
| Facility | $194.10 | $279.50 | $1,198.88 | |
Cigna
| Facility | $2,218.40 | $2,218.40 | $2,218.40 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |