| 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 | $2,041.74 | |
Cigna
| Facility | 22 | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna
| Facility | AS | $204.17 | $204.17 | $204.17 |