| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.81 | $225.36 | $5,320.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $54.78 | $78.65 | $98.32 | |
Cigna
| Facility | $103.37 | $103.37 | $103.37 | |
United
| Facility | $50.00 | $668.00 | $3,176.00 |