| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.85 | $400.00 | $3,740.00 | |
Anthem BCBS
| Facility | $1,041.00 | $1,968.00 | $2,894.00 | |
CareSource
| Facility | $96.26 | $117.22 | $136.85 | |
Cigna
| Facility | $173.66 | $173.66 | $173.66 | |
United
| Facility | $50.00 | $597.00 | $1,895.00 |