| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.19 | $186.46 | $8,229.00 | |
Anthem BCBS
| Facility | $9,496.00 | $32,115.25 | $96,952.42 | |
CareSource
| Facility | $121.84 | $166.22 | $191.75 | |
Cigna
| Facility | $145.90 | $145.90 | $145.90 | |
Cigna
| Facility | AS | $14.13 | $14.13 | $14.13 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |