| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $1,379.88 | $8,229.00 | |
Anthem BCBS
| Facility | $9,496.00 | $32,115.25 | $96,952.42 | |
CareSource
| Facility | $983.20 | $1,340.18 | $1,545.99 | |
Cigna
| Facility | $1,176.14 | $1,176.14 | $1,176.14 | |
Cigna
| Facility | AS | $114.83 | $114.83 | $114.83 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |