| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.44 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $101.40 | $137.19 | $158.25 | |
Cigna
| Facility | $121.73 | $121.73 | $174.50 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |