| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $8,912.51 | $20,417.38 | |
Anthem BCBS
| Facility | $4,073.80 | $22,908.68 | $31,622.78 | |
CareSource
| Facility | $316.23 | $323.59 | $371.54 | |
Cigna
| Facility | $331.13 | $512.86 | $776.25 | |
Cigna
| Facility | AS | $56.23 | $56.23 | $56.23 |
United
| Facility | $4,265.80 | $9,549.93 | $16,218.10 |