| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.70 | $787.00 | $3,740.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $106.52 | $147.65 | $175.33 | |
Cigna
| Facility | $134.09 | $134.09 | $134.09 | |
United
| Facility | $50.00 | $926.00 | $3,481.00 |