| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $966.42 | $5,355.00 | $10,817.74 | |
Anthem BCBS
| Facility | $1,145.00 | $2,792.00 | $8,800.00 | |
CareSource
| Facility | $854.56 | $1,025.47 | $1,602.30 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $2,647.00 | $4,410.00 | $7,351.00 |