| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $1,287.93 | $13,304.00 | |
Anthem BCBS
| Facility | $2,288.00 | $4,261.00 | $11,262.00 | |
CareSource
| Facility | $1,076.16 | $1,515.00 | $1,731.42 | |
Cigna
| Facility | $1,336.33 | $1,336.33 | $2,280.98 | |
United
| Facility | $842.00 | $4,539.00 | $10,113.00 |