| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.81 | $135.60 | $5,320.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,191.00 | $4,066.00 | |
CareSource
| Facility | $71.63 | $87.21 | $101.82 | |
Cigna
| Facility | $72.97 | $129.19 | $129.19 | |
United
| Facility | $50.00 | $597.00 | $1,895.00 |