| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $3,467.37 | $4,897.79 | |
Anthem BCBS
| Facility | $2,089.30 | $4,466.84 | $8,709.64 | |
CareSource
| Facility | $69.18 | $75.86 | $87.10 | |
Cigna
| Facility | $645.65 | $645.65 | $758.58 | |
United
| Facility | $741.31 | $2,818.38 | $4,466.84 |