| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.54 | $195.03 | $3,740.00 | |
Anthem BCBS
| Facility | $1,041.00 | $2,067.00 | $2,978.00 | |
CareSource
| Facility | $78.06 | $111.45 | $131.52 | |
Cigna
| Facility | $146.47 | $146.47 | $146.47 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |