| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,224.20 | $16,010.56 | $18,053.93 | |
Cigna
| Facility | $401.09 | $401.09 | $699.00 | |
Cigna
| Facility | 62 | $243.96 | $243.96 | $243.96 |
Cigna
| Facility | AS | $39.03 | $39.03 | $39.03 |