| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $552.41 | $2,057.25 | $10,404.00 | |
Anthem BCBS
| Facility | $1,775.00 | $5,941.00 | $19,582.00 | |
CareSource
| Facility | $490.67 | $703.08 | $811.05 | |
Cigna
| Facility | $619.72 | $619.72 | $12,571.00 | |
Cigna
| Facility | AS | $61.52 | $61.52 | $61.52 |
United
| Facility | $739.00 | $3,828.00 | $8,582.00 |