| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.38 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $1,636.00 | $3,840.00 | $7,036.00 | |
CareSource
| Facility | $102.58 | $133.35 | $153.87 | |
Cigna
| Facility | $129.11 | $402.00 | $655.97 | |
United
| Facility | $900.00 | $3,817.00 | $5,402.00 |