| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.75 | $822.37 | $2,495.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,498.00 | $8,517.00 | |
CareSource
| Facility | $301.23 | $367.50 | $433.68 | |
Cigna
| Facility | $483.00 | $483.00 | $483.00 | |
United
| Facility | $739.00 | $3,828.00 | $11,156.00 |