| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.68 | $860.00 | $8,229.00 | |
Anthem BCBS
| Facility | $4,014.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $159.97 | $219.56 | $253.29 | |
Cigna
| Facility | $191.90 | $191.90 | $191.90 | |
United
| Facility | $523.00 | $794.00 | $5,301.00 |