| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.63 | $988.00 | $4,107.89 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $366.19 | $494.36 | $604.21 | |
Cigna
| Facility | $450.12 | $450.12 | $450.12 | |
Cigna
| Facility | 62 | $276.13 | $276.13 | $276.13 |
Cigna
| Facility | AS | $44.18 | $44.18 | $44.18 |
United
| Facility | $842.00 | $4,539.00 | $10,113.00 |