| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.97 | $610.55 | $8,229.00 | |
Anthem BCBS
| Facility | $7,990.00 | $10,099.00 | $25,200.51 | |
CareSource
| Facility | $476.63 | $648.97 | $748.64 | |
Cigna
| Facility | $570.37 | $570.37 | $728.58 | |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |