| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.80 | $416.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $124.82 | $171.33 | $197.64 | |
Cigna
| Facility | $225.18 | $225.18 | $225.18 | |
United
| Facility | $575.00 | $945.00 | $6,295.00 |