| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.22 | $397.48 | $8,229.00 | |
Anthem BCBS
| Facility | $2,289.81 | $4,961.39 | $11,253.00 | |
CareSource
| Facility | $300.51 | $406.00 | $468.35 | |
Cigna
| Facility | $357.10 | $357.10 | $491.25 | |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |