| 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 | $691.83 | $691.83 | $2,238.72 | |
Cigna
| Facility | 22 | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna
| Facility | AS | $223.87 | $223.87 | $223.87 |