| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,207.88 | $7,155.00 | $14,579.00 | |
Anthem BCBS
| Facility | $2,097.00 | $8,238.00 | $36,529.00 | |
CareSource
| Facility | $863.68 | $1,036.42 | $1,282.78 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $4,873.00 | $10,707.00 | $15,469.00 |