| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $2,630.27 | $8,511.38 | |
Anthem BCBS
| Facility | $5,011.87 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $107.15 | $151.36 | $181.97 | |
Cigna
| Facility | $34.67 | $208.93 | $208.93 | |
United
| Facility | $389.05 | $954.99 | $11,220.18 |