| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.18 | $330.60 | $8,229.00 | |
Anthem BCBS
| Facility | $571.63 | $1,725.70 | $11,253.00 | |
CareSource
| Facility | $256.42 | $312.23 | $364.52 | |
Cigna
| Facility | $309.39 | $309.39 | $309.39 | |
United
| Facility | $739.00 | $2,194.00 | $8,174.00 |