| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $459.42 | $1,924.00 | $9,311.00 | |
Anthem BCBS
| Facility | $2,088.00 | $3,967.00 | $8,800.00 | |
CareSource
| Facility | $451.76 | $620.05 | $715.29 | |
Cigna
| Facility | $545.70 | $545.70 | $545.70 | |
United
| Facility | $575.00 | $945.00 | $6,295.00 |