| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.76 | $286.14 | $8,229.00 | |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $213.98 | $293.70 | $338.81 | |
Cigna
| Facility | $259.83 | $259.83 | $341.46 | |
Cigna
| Facility | AS | $25.17 | $25.17 | $25.17 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |