| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.87 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $4,014.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $88.86 | $88.86 | $95.02 | |
Cigna
| Facility | $75.54 | $75.54 | $75.54 | |
United
| Facility | $523.00 | $1,450.00 | $5,301.00 |