| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.85 | $1,074.47 | $5,320.00 | |
Anthem BCBS
| Facility | $4,014.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $237.24 | $325.63 | $375.63 | |
Cigna
| Facility | $427.97 | $427.97 | $427.97 | |
United
| Facility | $599.00 | $2,723.00 | $6,295.00 |