| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.25 | $1,218.15 | $5,634.00 | |
Anthem BCBS
| Facility | $856.00 | $4,320.00 | $8,230.00 | |
CareSource
| Facility | $74.20 | $108.10 | $210.63 | |
Cigna
| Facility | $143.09 | $143.09 | $143.09 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |