| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.75 | $549.88 | $5,634.00 | |
Anthem BCBS
| Facility | $1,153.00 | $5,790.87 | $8,240.00 | |
CareSource
| Facility | $161.84 | $206.27 | $618.27 | |
Cigna
| Facility | $1,311.07 | $1,311.07 | $1,311.07 | |
United
| Facility | $2,400.00 | $3,870.00 | $5,490.00 |