| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,224.20 | $16,010.56 | $18,053.93 | |
Cigna
| Facility | $699.00 | $699.00 | $1,874.42 | |
Cigna
| Facility | 52 | $1,471.60 | $1,471.60 | $1,471.60 |
Cigna
| Facility | AS | $183.95 | $183.95 | $183.95 |