| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.70 | $266.39 | $3,740.00 | |
Anthem BCBS
| Facility | $3,013.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $79.58 | $114.23 | $131.77 | |
Cigna
| Facility | $149.41 | $150.13 | $150.13 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |