| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.56 | $552.63 | $7,212.00 | |
Anthem BCBS
| Facility | $1,804.00 | $4,353.00 | $8,052.00 | |
CareSource
| Facility | $114.34 | $166.54 | $283.69 | |
Cigna
| Facility | $143.09 | $143.09 | $143.09 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |