| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.99 | $185.59 | $7,393.57 | |
Anthem BCBS
| Facility | $3,013.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $66.26 | $94.99 | $118.74 | |
Cigna
| Facility | $83.08 | $83.08 | $225.75 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |