| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $923.78 | $9,281.27 | $18,729.98 | |
Anthem BCBS
| Facility | $2,310.00 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $766.06 | $976.35 | $1,126.56 | |
Cigna
| Facility | $3,379.37 | $3,379.37 | $3,379.37 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |