| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.70 | $180.28 | $7,909.08 | |
Anthem BCBS
| Facility | $1,643.00 | $3,346.00 | $8,517.00 | |
CareSource
| Facility | $103.22 | $125.69 | $146.74 | |
Cigna
| Facility | $91.00 | $186.21 | $186.21 | |
United
| Facility | $50.00 | $597.00 | $1,895.00 |