| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $20,209.48 | $26,469.21 | $29,847.38 | |
Cigna
| Facility | $699.00 | $699.00 | $1,742.51 | |
Cigna
| Facility | 52 | $1,366.02 | $1,366.02 | $1,366.02 |
Cigna
| Facility | AS | $170.75 | $170.75 | $170.75 |