| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.54 | $354.53 | $3,740.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $68.36 | $83.41 | $98.43 | |
Cigna
| Facility | $109.63 | $109.63 | $109.63 | |
United
| Facility | $391.00 | $1,335.00 | $11,156.00 |