| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.18 | $387.53 | $8,229.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $87.88 | $120.61 | $139.13 | |
Cigna
| Facility | $158.52 | $158.52 | $158.52 | |
United
| Facility | $334.00 | $594.00 | $3,394.00 |