| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $2,589.33 | $8,229.00 | |
Anthem BCBS
| Facility | $7,212.00 | $9,592.68 | $21,957.82 | |
CareSource
| Facility | $2,164.04 | $2,968.63 | $3,424.52 | |
Cigna
| Facility | $2,180.25 | $2,606.04 | $2,606.04 | |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |