| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.00 | $852.48 | $8,229.00 | |
Anthem BCBS
| Facility | $5,470.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $796.35 | $1,084.97 | $1,251.58 | |
Cigna
| Facility | $952.20 | $952.20 | $952.20 | |
Cigna
| Facility | AS | $93.43 | $93.43 | $93.43 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |