| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.09 | $413.85 | $5,634.00 | |
Anthem BCBS
| Facility | $58.45 | $191.00 | $191.00 | |
CareSource
| Facility | $58.45 | $74.48 | $592.85 | |
Cigna
| Facility | $191.00 | $191.00 | $191.00 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |