| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.42 | $186.69 | $3,740.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $81.92 | $116.83 | $137.87 | |
Cigna
| Facility | $153.55 | $153.55 | $153.55 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |