| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.13 | $645.41 | $5,320.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $458.41 | $655.72 | $756.41 | |
Cigna
| Facility | $574.91 | $861.80 | $861.80 | |
United
| Facility | $50.00 | $668.00 | $3,176.00 |