| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $2,630.27 | $8,511.38 | |
Anthem BCBS
| Facility | $9,549.93 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $125.89 | $165.96 | $234.42 | |
Cigna
| Facility | $34.67 | $229.09 | $229.09 | |
Cigna
| Facility | AS | $22.91 | $22.91 | $22.91 |
United
| Facility | $50.12 | $602.56 | $3,162.28 |