| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.09 | $603.77 | $5,320.00 | |
Anthem BCBS
| Facility | $2,222.60 | $4,815.76 | $11,253.00 | |
CareSource
| Facility | $392.84 | $535.55 | $617.79 | |
Cigna
| Facility | $468.22 | $468.22 | $468.22 | |
Cigna
| Facility | AS | $45.63 | $45.63 | $45.63 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |