| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,672.86 | $6,774.09 | |
Anthem BCBS
| Facility | $8,512.20 | $9,458.00 | $17,400.00 | |
Cigna
| Facility | $845.53 | $2,472.40 | $2,558.92 | |
Cigna
| Facility | AS | $83.96 | $83.96 | $83.96 |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |