| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.07 | $823.25 | $8,229.00 | |
Anthem BCBS
| Facility | $3,013.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $20.44 | $28.04 | $32.36 | |
Cigna
| Facility | $24.74 | $24.74 | $24.74 | |
United
| Facility | $59.00 | $100.00 | $3,176.00 |