| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.35 | $787.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $107.62 | $146.05 | $168.47 | |
Cigna
| Facility | $127.22 | $127.22 | $193.19 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |