| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $1,380.38 | $5,623.41 | |
Anthem BCBS
| Facility | $223.87 | $223.87 | $436.52 | |
CareSource
| Facility | $134.90 | $141.25 | $158.49 | |
Cigna
| Facility | $158.49 | $295.12 | $1,905.46 | |
United
| Facility | $549.54 | $2,238.72 | $5,754.40 |