| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $2,630.27 | $8,511.38 | |
Anthem BCBS
| Facility | $2,290.87 | $3,801.89 | $9,772.37 | |
CareSource
| Facility | $288.40 | $354.81 | $489.78 | |
Cigna
| Facility | $562.34 | $562.34 | $1,862.09 | |
Cigna
| Facility | AS | $56.23 | $56.23 | $56.23 |
United
| Facility | $724.44 | $2,511.89 | $10,000.00 |