| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.55 | $503.98 | $5,320.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $171.08 | $233.60 | $275.66 | |
Cigna
| Facility | $307.02 | $307.02 | $307.02 | |
United
| Facility | $391.00 | $950.00 | $11,156.00 |