| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.32 | $254.72 | $3,740.00 | |
Anthem BCBS
| Facility | $3,013.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $89.82 | $109.37 | $127.69 | |
Cigna
| Facility | $162.03 | $162.03 | $279.73 | |
United
| Facility | $50.00 | $597.00 | $1,895.00 |