| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.64 | $175.70 | $3,740.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $135.62 | $186.16 | $214.74 | |
Cigna
| Facility | $244.66 | $244.66 | $244.66 | |
United
| Facility | $50.00 | $597.00 | $3,176.00 |