| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $378.99 | $1,386.00 | $7,212.00 | |
Anthem BCBS
| Facility | $2,796.00 | $6,340.00 | $15,727.00 | |
CareSource
| Facility | $379.79 | $484.04 | $558.51 | |
Cigna
| Facility | $3,379.37 | $3,379.37 | $3,379.37 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |