| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.64 | $6,637.00 | $12,565.00 | |
Anthem BCBS
| Facility | $2,097.00 | $8,238.00 | $36,529.00 | |
CareSource
| Facility | $550.38 | $660.52 | $817.53 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $4,873.00 | $10,707.00 | $15,469.00 |