| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.10 | $343.12 | $5,634.00 | |
Anthem BCBS
| Facility | $1,682.00 | $3,840.00 | $7,747.00 | |
CareSource
| Facility | $90.15 | $114.89 | $177.01 | |
Cigna
| Facility | $1,314.83 | $1,314.83 | $1,314.83 | |
United
| Facility | $2,400.00 | $3,870.00 | $5,490.00 |