| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.22 | $549.97 | $3,740.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $383.58 | $547.23 | $631.28 | |
Cigna
| Facility | $458.87 | $719.22 | $719.22 | |
United
| Facility | $50.00 | $668.00 | $3,176.00 |