| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.16 | $8,553.00 | $12,887.41 | |
Anthem BCBS
| Facility | $5,577.00 | $13,964.62 | $26,394.04 | |
CareSource
| Facility | $557.45 | $672.65 | $832.55 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,111.00 |