| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.06 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $5,830.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $489.88 | $700.01 | $807.52 | |
Cigna
| Facility | $617.49 | $617.49 | $617.49 | |
United
| Facility | $599.00 | $2,723.00 | $6,295.00 |