| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.94 | $860.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,498.00 | $8,517.00 | |
CareSource
| Facility | $182.84 | $250.96 | $289.50 | |
Cigna
| Facility | $218.88 | $218.88 | $218.88 | |
United
| Facility | $523.00 | $1,339.00 | $5,301.00 |