| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.35 | $953.51 | $5,200.00 | |
Anthem BCBS
| Facility | $3,104.00 | $5,280.00 | $12,101.00 | |
CareSource
| Facility | $451.87 | $641.90 | $740.49 | |
Cigna
| Facility | $665.22 | $843.64 | $843.64 | |
United
| Facility | $599.00 | $2,723.00 | $6,295.00 |