| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.21 | $1,716.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $149.26 | $204.86 | $236.32 | |
Cigna
| Facility | $269.25 | $269.25 | $269.25 | |
United
| Facility | $523.00 | $794.00 | $5,301.00 |