| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.67 | $787.00 | $3,740.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,066.00 | |
CareSource
| Facility | $283.17 | $409.30 | $472.17 | |
Cigna
| Facility | $357.41 | $357.41 | $357.41 | |
United
| Facility | $50.00 | $668.00 | $3,176.00 |