| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,589.25 | $13,489.63 | $18,197.01 | |
Cigna
| Facility | $407.38 | $407.38 | $691.83 | |
Cigna
| Facility | 52 | $323.59 | $323.59 | $323.59 |
Cigna
| Facility | AS | $40.74 | $40.74 | $40.74 |