| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.69 | $824.00 | $5,634.00 | |
Anthem BCBS
| Facility | $970.00 | $5,790.87 | $8,240.00 | |
CareSource
| Facility | $150.50 | $205.23 | $307.85 | |
Cigna
| Facility | $2,218.40 | $2,218.40 | $2,218.40 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |