| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.68 | $637.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,389.00 | |
CareSource
| Facility | $351.60 | $482.58 | $556.70 | |
Cigna
| Facility | $424.97 | $424.97 | $424.97 | |
United
| Facility | $575.00 | $945.00 | $6,295.00 |