| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.44 | $896.00 | $8,229.00 | |
Anthem BCBS
| Facility | $2,320.00 | $4,334.00 | $11,433.00 | |
CareSource
| Facility | $475.30 | $680.01 | $784.43 | |
Cigna
| Facility | $600.76 | $600.76 | $643.19 | |
United
| Facility | $599.00 | $2,723.00 | $6,295.00 |