| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.87 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,421.00 | $2,542.00 | $4,650.00 | |
CareSource
| Facility | $244.09 | $335.03 | $386.48 | |
Cigna
| Facility | $295.18 | $295.18 | $295.18 | |
United
| Facility | $523.00 | $794.00 | $5,301.00 |