| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.83 | $43.64 | $338.76 | |
Anthem BCBS
| Facility | $40.85 | $40.85 | $373.00 | |
CareSource
| Facility | $19.46 | $28.34 | $440.42 | |
Cigna
| Facility | $43.64 | $43.64 | $43.64 | |
United
| Facility | $361.45 | $361.45 | $361.45 |