| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.17 | $1,049.28 | $11,093.00 | |
Anthem BCBS
| Facility | $1,614.00 | $9,200.00 | $18,942.00 | |
CareSource
| Facility | $262.70 | $365.40 | $1,345.69 | |
Cigna
| Facility | $2,218.40 | $2,218.40 | $2,218.40 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |