| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.34 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,041.00 | $1,991.00 | $2,894.00 | |
CareSource
| Facility | $71.12 | $97.62 | $112.61 | |
Cigna
| Facility | $85.75 | $85.75 | $85.75 | |
United
| Facility | $50.00 | $597.00 | $3,176.00 |