| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.89 | $207.60 | $2,747.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,346.00 | $8,517.00 | |
CareSource
| Facility | $122.33 | $148.96 | $173.90 | |
Cigna
| Facility | $142.56 | $220.67 | $220.67 | |
United
| Facility | $50.00 | $597.00 | $1,895.00 |