| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.47 | $557.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,421.00 | $2,542.00 | $4,650.00 | |
CareSource
| Facility | $221.74 | $304.35 | $351.08 | |
Cigna
| Facility | $267.37 | $267.37 | $267.37 | |
United
| Facility | $523.00 | $794.00 | $5,301.00 |