| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $2,818.38 | $8,511.38 | |
Anthem BCBS
| Facility | $5,888.44 | $10,471.29 | $11,220.18 | |
CareSource
| Facility | $128.82 | $190.55 | $223.87 | |
Cigna
| Facility | $34.67 | $257.04 | $257.04 | |
Cigna
| Facility | AS | $25.70 | $25.70 | $25.70 |
United
| Facility | $602.56 | $4,466.84 | $30,199.52 |