| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.52 | $442.31 | $3,740.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $59.45 | $81.59 | $94.13 | |
Cigna
| Facility | $107.24 | $107.24 | $107.24 | |
United
| Facility | $50.00 | $597.00 | $3,176.00 |