| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.68 | $4,118.00 | $7,212.00 | |
Anthem BCBS
| Facility | $970.00 | $4,118.00 | $8,240.00 | |
CareSource
| Facility | $174.73 | $227.15 | $270.83 | |
Cigna
| Facility | $761.00 | $4,118.00 | $4,118.00 | |
United
| Facility | $900.00 | $3,817.00 | $5,402.00 |