| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $4,265.80 | $15,135.61 | |
Anthem BCBS
| Facility | $5,888.44 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $562.34 | $776.25 | $912.01 | |
Cigna
| Facility | $34.67 | $1,047.13 | $1,047.13 | |
United
| Facility | $977.24 | $5,011.87 | $12,302.69 |