| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $20,892.96 | $22,387.21 | $29,512.09 | |
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 |