| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.55 | $860.00 | $14,536.00 | |
Anthem BCBS
| Facility | $16,584.00 | $25,962.00 | $33,917.00 | |
CareSource
| Facility | $548.04 | $748.09 | $862.98 | |
Cigna
| Facility | $659.58 | $659.58 | $659.58 | |
United
| Facility | $1,300.00 | $6,818.00 | $33,259.00 |