| 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 | $1,479.11 | |
Cigna
| Facility | 22 | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna
| Facility | AS | $147.91 | $147.91 | $147.91 |