| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.13 | $557.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $153.65 | $210.90 | $243.28 | |
Cigna
| Facility | $277.18 | $277.18 | $277.18 | |
United
| Facility | $523.00 | $794.00 | $5,301.00 |