| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.51 | $297.20 | $5,634.00 | |
Anthem BCBS
| Facility | $1,636.00 | $3,635.00 | $5,445.00 | |
CareSource
| Facility | $52.09 | $67.72 | $241.74 | |
Cigna
| Facility | $96.93 | $402.00 | $674.63 | |
United
| Facility | $900.00 | $3,817.00 | $5,402.00 |