| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.67 | $1,773.00 | $5,634.00 | |
Anthem BCBS
| Facility | $1,682.00 | $3,677.00 | $5,445.00 | |
CareSource
| Facility | $101.17 | $128.94 | $148.79 | |
Cigna
| Facility | $498.21 | $498.21 | $498.21 | |
United
| Facility | $1,638.00 | $2,854.00 | $4,271.00 |