| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.14 | $446.94 | $5,634.00 | |
Anthem BCBS
| Facility | $1,682.00 | $3,950.00 | $15,727.00 | |
CareSource
| Facility | $301.80 | $434.60 | $639.12 | |
Cigna
| Facility | $3,379.37 | $3,379.37 | $3,379.37 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |