| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.05 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $97.22 | $97.22 | $103.97 | |
Cigna
| Facility | $85.75 | $85.75 | $85.75 | |
United
| Facility | $50.00 | $597.00 | $3,176.00 |