| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $881.76 | $4,723.00 | $11,627.00 | |
Anthem BCBS
| Facility | $3,315.00 | $8,450.20 | $15,206.26 | |
CareSource
| Facility | $813.01 | $975.61 | $1,207.53 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,111.00 |