| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $639.33 | $1,758.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,600.00 | $9,271.00 | |
CareSource
| Facility | $689.12 | $988.96 | $1,140.83 | |
Cigna
| Facility | $867.84 | $867.84 | $979.61 | |
Cigna
| Facility | AS | $86.46 | $86.46 | $86.46 |
United
| Facility | $973.00 | $4,639.00 | $12,296.00 |