| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $64.57 | $123.03 | |
Anthem BCBS
| Facility | $19.50 | $660.69 | $891.25 | |
CareSource
| Facility | $21.88 | $22.91 | $25.70 | |
Cigna
| Facility | $25.70 | $70.79 | $125.89 | |
United
| Facility | $380.19 | $380.19 | $380.19 |