| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.69 | $1,174.98 | $8,229.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $222.90 | $305.94 | $352.93 | |
Cigna
| Facility | $269.16 | $269.16 | $269.16 | |
United
| Facility | $523.00 | $794.00 | $5,301.00 |