| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.60 | $326.62 | $5,320.00 | |
Anthem BCBS
| Facility | $1,359.00 | $2,292.00 | $4,059.00 | |
CareSource
| Facility | $111.29 | $135.50 | $158.19 | |
Cigna
| Facility | $200.74 | $200.74 | $1,587.00 | |
United
| Facility | $50.00 | $597.00 | $1,895.00 |