| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.22 | $860.00 | $7,909.08 | |
Anthem BCBS
| Facility | $1,258.00 | $2,316.00 | $4,229.00 | |
CareSource
| Facility | $498.82 | $713.48 | $823.06 | |
Cigna
| Facility | $629.03 | $629.03 | $629.03 | |
Cigna
| Facility | AS | $62.30 | $62.30 | $62.30 |
United
| Facility | $599.00 | $2,723.00 | $5,995.00 |