| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.89 | $1,386.00 | $7,212.00 | |
Anthem BCBS
| Facility | $1,042.00 | $4,118.00 | $8,240.00 | |
CareSource
| Facility | $175.03 | $227.54 | $1,069.82 | |
Cigna
| Facility | $761.00 | $4,118.00 | $4,118.00 | |
United
| Facility | $900.00 | $3,817.00 | $5,402.00 |