| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $342.98 | $1,231.68 | $4,598.70 | |
Anthem BCBS
| Facility | $5,830.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $318.04 | $436.52 | $503.56 | |
Cigna
| Facility | $573.71 | $573.71 | $573.71 | |
United
| Facility | $739.00 | $3,828.00 | $8,582.00 |