| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.15 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $136.82 | $188.36 | $217.28 | |
Cigna
| Facility | $247.55 | $247.55 | $247.55 | |
United
| Facility | $523.00 | $794.00 | $5,301.00 |