| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.33 | $206.53 | $8,229.00 | |
Anthem BCBS
| Facility | $4,503.33 | $8,650.50 | $13,595.06 | |
CareSource
| Facility | $149.62 | $204.13 | $235.49 | |
Cigna
| Facility | $178.99 | $178.99 | $246.45 | |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |