| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $849.27 | $1,233.99 | $8,229.00 | |
Anthem BCBS
| Facility | $6,559.00 | $10,990.10 | $30,856.09 | |
CareSource
| Facility | $915.84 | $1,318.77 | $1,521.29 | |
Cigna
| Facility | $1,155.76 | $1,155.76 | $1,215.08 | |
Cigna
| Facility | AS | $114.90 | $114.90 | $114.90 |
United
| Facility | $842.00 | $4,539.00 | $10,113.00 |