| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.72 | $467.83 | $3,740.00 | |
Anthem BCBS
| Facility | $6,153.00 | $10,099.00 | $24,626.72 | |
CareSource
| Facility | $301.86 | $412.08 | $475.36 | |
Cigna
| Facility | $363.14 | $363.14 | $363.14 | |
Cigna
| Facility | 62 | $218.80 | $218.80 | $218.80 |
Cigna
| Facility | AS | $35.01 | $35.01 | $35.01 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |