| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,013.67 | $9,066.42 | $12,672.00 | |
Anthem BCBS
| Facility | $6,813.00 | $17,502.61 | $31,496.21 | |
CareSource
| Facility | $3,164.55 | $3,797.46 | $4,700.18 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,111.00 |