| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.41 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,421.00 | $2,534.00 | $5,083.00 | |
CareSource
| Facility | $363.91 | $499.49 | $576.19 | |
Cigna
| Facility | $440.62 | $440.62 | $440.62 | |
United
| Facility | $575.00 | $945.00 | $6,295.00 |