| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.17 | $416.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $245.80 | $337.37 | $389.18 | |
Cigna
| Facility | $443.40 | $443.40 | $443.40 | |
United
| Facility | $523.00 | $794.00 | $5,301.00 |