| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,112.07 | $6,064.00 | $11,561.00 | |
Anthem BCBS
| Facility | $1,760.00 | $3,528.00 | $14,996.00 | |
CareSource
| Facility | $707.91 | $849.49 | $1,051.42 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $2,840.00 | $5,998.00 | $7,847.00 |