| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6,932.50 | $6,932.50 | $6,932.50 | |
Anthem BCBS
| Professional | $6,454.82 | $8,068.53 | $8,068.53 | |
CareSource
| Facility | $669.82 | $669.82 | $6,698.21 | |
Cigna
| Professional | $15,700.00 | $15,700.00 | $15,700.00 |