| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.94 | $911.19 | $5,320.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,389.00 | |
CareSource
| Facility | $466.45 | $663.64 | $765.57 | |
Cigna
| Facility | $589.97 | $589.97 | $654.60 | |
United
| Facility | $599.00 | $2,723.00 | $6,295.00 |