| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.43 | $490.59 | $7,212.00 | |
Anthem BCBS
| Facility | $1,749.00 | $4,353.00 | $8,052.00 | |
CareSource
| Facility | $91.97 | $133.97 | $250.22 | |
Cigna
| Facility | $287.32 | $287.32 | $287.32 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |