| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.12 | $860.00 | $8,229.00 | |
Anthem BCBS
| Facility | $1,643.00 | $3,600.00 | $8,964.00 | |
CareSource
| Facility | $312.54 | $428.97 | $494.86 | |
Cigna
| Facility | $375.23 | $375.23 | $375.23 | |
Cigna
| Facility | AS | $37.06 | $37.06 | $37.06 |
United
| Facility | $719.00 | $1,298.00 | $10,113.00 |