| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.74 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,389.00 | |
CareSource
| Facility | $384.76 | $526.67 | $607.55 | |
Cigna
| Facility | $460.70 | $460.70 | $514.97 | |
United
| Facility | $842.00 | $4,539.00 | $10,113.00 |