| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $1,288.25 | $3,890.45 | |
Anthem BCBS
| Facility | $1,479.11 | $2,398.83 | $4,365.16 | |
CareSource
| Facility | $134.90 | $165.96 | $234.42 | |
Cigna
| Facility | $34.67 | $263.03 | $263.03 | |
United
| Facility | $524.81 | $1,348.96 | $5,248.07 |