| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $555.30 | $1,758.00 | $7,511.35 | |
Anthem BCBS
| Facility | $1,643.00 | $3,498.00 | $8,517.00 | |
CareSource
| Facility | $602.04 | $863.42 | $996.02 | |
Cigna
| Facility | $759.22 | $759.22 | $759.22 | |
Cigna
| Facility | AS | $75.45 | $75.45 | $75.45 |
United
| Facility | $739.00 | $3,828.00 | $8,582.00 |