| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $605.86 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $580.60 | $795.63 | $917.81 | |
Cigna
| Facility | $623.57 | $696.91 | $696.91 | |
United
| Facility | $739.00 | $3,828.00 | $8,582.00 |