| 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 | $602.56 | $602.56 | $691.83 | |
Cigna
| Facility | 62 | $371.54 | $371.54 | $371.54 |
Cigna
| Facility | AS | $60.26 | $60.26 | $60.26 |