| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.20 | $787.00 | $3,740.00 | |
Anthem BCBS
| Facility | $343.21 | $1,036.13 | $11,253.00 | |
CareSource
| Facility | $314.00 | $465.71 | $537.23 | |
Cigna
| Facility | $406.87 | $406.87 | $441.74 | |
Cigna
| Facility | AS | $39.89 | $39.89 | $39.89 |
United
| Facility | $50.00 | $668.00 | $3,176.00 |