| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,331.21 | $9,859.00 | |
Anthem BCBS
| Facility | $1,497.60 | $20,162.41 | $35,151.03 | |
Cigna
| Facility | $1,110.36 | $1,110.36 | $1,110.36 | |
Cigna
| Facility | AS | $110.17 | $110.17 | $110.17 |
United
| Facility | $12,399.00 | $12,399.00 | $12,399.00 |