| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.56 | $428.49 | $5,320.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $163.61 | $224.56 | $259.05 | |
Cigna
| Facility | $248.42 | $295.14 | $295.14 | |
United
| Facility | $523.00 | $1,450.00 | $5,301.00 |