| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.35 | $823.77 | $8,229.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $110.59 | $151.79 | $175.10 | |
Cigna
| Facility | $199.49 | $199.49 | $199.49 | |
United
| Facility | $523.00 | $794.00 | $5,301.00 |