| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.48 | $220.56 | $5,634.00 | |
Anthem BCBS
| Facility | $1,682.00 | $3,840.00 | $8,240.00 | |
CareSource
| Facility | $59.17 | $75.41 | $228.65 | |
Cigna
| Facility | $847.52 | $847.52 | $847.52 | |
United
| Facility | $963.00 | $3,267.00 | $5,073.00 |