| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.13 | $934.95 | $4,082.31 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $696.44 | $940.19 | $1,149.13 | |
Cigna
| Facility | $858.77 | $858.77 | $914.18 | |
Cigna
| Facility | 62 | $526.61 | $526.61 | $526.61 |
Cigna
| Facility | AS | $84.26 | $84.26 | $84.26 |
United
| Facility | $50.00 | $668.00 | $3,176.00 |