| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $1,778.28 | $3,890.45 | |
Anthem BCBS
| Facility | $9,549.93 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $436.52 | $630.96 | $812.83 | |
Cigna
| Facility | $34.67 | $870.96 | $870.96 | |
Cigna
| Facility | AS | $87.10 | $87.10 | $87.10 |
United
| Facility | $50.12 | $602.56 | $3,162.28 |