| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.58 | $525.62 | $8,229.00 | |
Anthem BCBS
| Facility | $4,014.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $77.92 | $106.95 | $123.37 | |
Cigna
| Facility | $140.56 | $140.56 | $140.56 | |
United
| Facility | $523.00 | $1,450.00 | $5,301.00 |