| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.46 | $637.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,775.00 | $3,616.00 | $8,330.00 | |
CareSource
| Facility | $216.22 | $296.77 | $342.34 | |
Cigna
| Facility | $263.33 | $263.33 | $263.33 | |
United
| Facility | $575.00 | $945.00 | $6,295.00 |