| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $738.78 | $5,219.64 | |
Anthem BCBS
| Facility | $26,550.00 | $29,500.00 | $35,000.00 | |
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 | $11,155.00 | $11,155.00 | $11,155.00 |