| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.21 | $1,240.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $412.93 | $566.76 | $653.80 | |
Cigna
| Facility | $498.46 | $498.46 | $498.46 | |
United
| Facility | $575.00 | $945.00 | $6,295.00 |