| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.99 | $896.00 | $10,152.00 | |
Anthem BCBS
| Facility | $3,565.00 | $6,410.00 | $14,034.00 | |
CareSource
| Facility | $247.69 | $339.98 | $392.18 | |
Cigna
| Facility | $299.52 | $299.52 | $299.52 | |
United
| Facility | $631.00 | $1,121.00 | $8,582.00 |