| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.62 | $637.00 | $2,747.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,498.00 | $8,517.00 | |
CareSource
| Facility | $485.75 | $697.80 | $804.97 | |
Cigna
| Facility | $614.15 | $614.15 | $614.15 | |
Cigna
| Facility | AS | $60.88 | $60.88 | $60.88 |
United
| Facility | $599.00 | $2,723.00 | $6,295.00 |