| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $2,089.30 | $5,623.41 | |
Anthem BCBS
| Facility | $288.40 | $288.40 | $562.34 | |
CareSource
| Facility | $147.91 | $154.88 | $173.78 | |
Cigna
| Facility | $263.03 | $263.03 | $758.58 | |
United
| Facility | $602.56 | $2,238.72 | $5,754.40 |