| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.60 | $480.04 | $3,740.00 | |
Anthem BCBS
| Facility | $4,014.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $165.32 | $226.91 | $261.76 | |
Cigna
| Facility | $298.23 | $298.23 | $298.23 | |
United
| Facility | $523.00 | $1,450.00 | $5,301.00 |