| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,164.08 | $7,155.00 | $11,627.00 | |
Anthem BCBS
| Facility | $6,813.00 | $17,502.61 | $31,496.21 | |
CareSource
| Facility | $1,241.05 | $1,489.26 | $1,843.28 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,111.00 |