| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.85 | $217.20 | $8,229.00 | |
Anthem BCBS
| Facility | $2,289.81 | $4,961.39 | $11,253.00 | |
CareSource
| Facility | $153.07 | $226.27 | $261.02 | |
Cigna
| Facility | $199.25 | $199.25 | $268.43 | |
Cigna
| Facility | AS | $19.50 | $19.50 | $19.50 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |