| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $459.76 | $921.76 | $5,320.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $502.98 | $717.32 | $827.47 | |
Cigna
| Facility | $635.35 | $635.35 | $907.64 | |
United
| Facility | $523.00 | $1,450.00 | $5,301.00 |