| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.66 | $787.00 | $5,320.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,257.00 | $4,066.00 | |
CareSource
| Facility | $90.49 | $131.36 | $164.20 | |
Cigna
| Facility | $115.16 | $115.16 | $126.88 | |
United
| Facility | $50.00 | $668.00 | $3,176.00 |