| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424.82 | $978.51 | $5,320.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $464.01 | $661.92 | $763.57 | |
Cigna
| Facility | $585.13 | $585.13 | $963.52 | |
United
| Facility | $523.00 | $1,450.00 | $5,301.00 |