| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.97 | $637.00 | $2,747.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,498.00 | $8,517.00 | |
CareSource
| Facility | $414.19 | $583.44 | $673.04 | |
Cigna
| Facility | $528.28 | $528.28 | $533.16 | |
United
| Facility | $523.00 | $1,450.00 | $5,301.00 |