| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,331.21 | $9,859.00 | |
Anthem BCBS
| Facility | $3,669.00 | $51,903.94 | $90,489.02 | |
Cigna
| Facility | $1,548.07 | $1,548.07 | $1,548.07 | |
Cigna
| Facility | AS | $153.38 | $153.38 | $153.38 |
United
| Facility | $12,629.00 | $12,629.00 | $12,629.00 |