| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.82 | $650.72 | $7,212.00 | |
Anthem BCBS
| Facility | $209.20 | $209.20 | $403.76 | |
CareSource
| Facility | $109.07 | $141.79 | $163.61 | |
Cigna
| Facility | $207.63 | $207.63 | $207.63 | |
United
| Facility | $933.00 | $2,174.00 | $4,426.00 |