| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.65 | $860.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,603.00 | $3,511.00 | $9,153.00 | |
CareSource
| Facility | $401.54 | $551.22 | $635.87 | |
Cigna
| Facility | $486.62 | $486.62 | $486.62 | |
United
| Facility | $575.00 | $945.00 | $6,295.00 |