| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.81 | $535.00 | $5,320.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $59.04 | $81.03 | $93.48 | |
Cigna
| Facility | $106.50 | $106.50 | $106.50 | |
United
| Facility | $50.00 | $597.00 | $3,176.00 |