| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $1,333.96 | $8,229.00 | |
Anthem BCBS
| Facility | $7,212.00 | $9,015.00 | $11,253.00 | |
CareSource
| Facility | $1,024.58 | $1,397.30 | $1,611.88 | |
Cigna
| Facility | $1,231.21 | $1,231.21 | $1,591.82 | |
Cigna
| Facility | AS | $119.30 | $119.30 | $119.30 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |