| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $3,801.89 | $5,623.41 | |
Anthem BCBS
| Facility | $2,454.71 | $4,466.84 | $8,709.64 | |
CareSource
| Facility | $20.42 | $21.38 | $23.99 | |
Cigna
| Facility | $21.88 | $34.67 | $44.67 | |
United
| Facility | $263.03 | $2,137.96 | $5,754.40 |