| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $612.00 | $958.64 | $8,067.26 | |
Anthem BCBS
| Facility | $1,643.00 | $3,498.00 | $9,863.00 | |
CareSource
| Facility | $593.08 | $849.17 | $979.58 | |
Cigna
| Facility | $749.18 | $749.18 | $838.39 | |
Cigna
| Facility | AS | $74.45 | $74.45 | $74.45 |
United
| Facility | $973.00 | $4,639.00 | $12,296.00 |