| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.58 | $535.00 | $8,229.00 | |
Anthem BCBS
| Facility | $3,013.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $71.34 | $97.92 | $112.96 | |
Cigna
| Facility | $128.69 | $128.69 | $128.69 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |