| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.49 | $787.00 | $3,740.00 | |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $276.45 | $414.86 | $478.57 | |
Cigna
| Facility | $365.30 | $365.30 | $426.57 | |
Cigna
| Facility | AS | $35.86 | $35.86 | $35.86 |
United
| Facility | $50.00 | $668.00 | $3,176.00 |