| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.24 | $787.00 | $3,740.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $56.77 | $82.49 | $95.15 | |
Cigna
| Facility | $72.78 | $72.78 | $72.78 | |
United
| Facility | $50.00 | $668.00 | $3,176.00 |