| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $1,276.80 | $8,229.00 | |
Anthem BCBS
| Facility | $6,559.00 | $19,794.66 | $55,575.98 | |
CareSource
| Facility | $1,777.99 | $1,777.99 | $1,777.99 | |
Cigna
| Facility | $1,551.82 | $1,551.82 | $1,551.82 | |
United
| Facility | $973.00 | $4,639.00 | $12,296.00 |