| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $589.04 | $1,924.00 | $13,699.35 | |
Anthem BCBS
| Facility | $2,088.00 | $3,967.00 | $8,800.00 | |
CareSource
| Facility | $525.16 | $749.70 | $864.84 | |
Cigna
| Facility | $606.29 | $663.25 | $663.25 | |
United
| Facility | $973.00 | $4,639.00 | $12,296.00 |