| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.69 | $637.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,353.00 | $8,517.00 | |
CareSource
| Facility | $152.13 | $207.33 | $239.17 | |
Cigna
| Facility | $180.59 | $182.56 | $182.56 | |
United
| Facility | $50.00 | $597.00 | $3,176.00 |