| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.02 | $109.51 | $3,740.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $84.44 | $102.83 | $120.05 | |
Cigna
| Facility | $152.33 | $152.33 | $3,236.00 | |
Cigna
| Facility | AS | $15.23 | $15.23 | $15.23 |
United
| Facility | $50.00 | $597.00 | $3,326.00 |