| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.98 | $241.94 | $3,740.00 | |
Anthem BCBS
| Facility | $3,013.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $74.70 | $106.96 | $133.69 | |
Cigna
| Facility | $140.58 | $140.58 | $140.58 | |
United
| Facility | $391.00 | $950.00 | $3,394.00 |