| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $2,630.27 | $8,511.38 | |
Anthem BCBS
| Facility | $1,479.11 | $2,398.83 | $4,365.16 | |
CareSource
| Facility | $501.19 | $691.83 | $891.25 | |
Cigna
| Facility | $34.67 | $933.25 | $933.25 | |
Cigna
| Facility | AS | $93.33 | $93.33 | $93.33 |
United
| Facility | $602.56 | $2,754.23 | $6,309.57 |