| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.44 | $277.97 | $3,740.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $99.54 | $141.62 | $167.12 | |
Cigna
| Facility | $186.13 | $186.13 | $186.13 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |