| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.06 | $819.01 | $8,229.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $182.21 | $250.10 | $288.50 | |
Cigna
| Facility | $328.70 | $328.70 | $328.70 | |
United
| Facility | $523.00 | $794.00 | $5,301.00 |