| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.81 | $344.71 | $5,634.00 | |
Anthem BCBS
| Facility | $1,636.00 | $3,635.00 | $5,445.00 | |
CareSource
| Facility | $84.46 | $109.80 | $401.34 | |
Cigna
| Facility | $158.52 | $402.00 | $655.97 | |
United
| Facility | $538.00 | $2,811.00 | $4,128.00 |