| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $405.33 | $787.00 | $3,740.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $419.61 | $626.77 | $723.03 | |
Cigna
| Facility | $550.42 | $550.42 | $550.42 | |
Cigna
| Facility | 62 | $337.64 | $337.64 | $337.64 |
Cigna
| Facility | AS | $54.02 | $54.02 | $54.02 |
United
| Facility | $50.00 | $668.00 | $3,176.00 |