| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.40 | $1,077.17 | $8,229.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,498.00 | $8,517.00 | |
CareSource
| Facility | $244.85 | $337.06 | $388.84 | |
Cigna
| Facility | $443.00 | $443.00 | $443.00 | |
United
| Facility | $631.00 | $1,121.00 | $8,582.00 |