| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $765.25 | $1,154.92 | $9,311.00 | |
Anthem BCBS
| Facility | $6,153.00 | $10,099.00 | $24,626.72 | |
CareSource
| Facility | $745.16 | $1,016.37 | $1,172.45 | |
Cigna
| Facility | $895.16 | $895.16 | $895.16 | |
Cigna
| Facility | AS | $86.87 | $86.87 | $86.87 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |