| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.72 | $282.93 | $4,227.55 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $151.04 | $193.61 | $226.56 | |
Cigna
| Facility | $252.65 | $252.65 | $252.65 | |
United
| Facility | $50.00 | $597.00 | $3,176.00 |