| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.88 | $586.80 | $3,740.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $294.58 | $417.07 | $492.19 | |
Cigna
| Facility | $472.07 | $548.15 | $548.15 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |