| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $442.43 | $946.36 | $7,909.08 | |
Anthem BCBS
| Facility | $1,643.00 | $3,498.00 | $8,517.00 | |
CareSource
| Facility | $483.72 | $691.31 | $797.47 | |
Cigna
| Facility | $610.79 | $610.79 | $610.79 | |
United
| Facility | $739.00 | $3,828.00 | $8,582.00 |