| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.77 | $958.93 | $8,229.00 | |
Anthem BCBS
| Facility | $2,088.00 | $3,967.00 | $8,800.00 | |
CareSource
| Facility | $451.56 | $644.69 | $743.70 | |
Cigna
| Facility | $569.88 | $569.88 | $944.24 | |
Cigna
| Facility | AS | $56.52 | $56.52 | $56.52 |
United
| Facility | $739.00 | $3,828.00 | $8,582.00 |