| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.00 | $2,155.60 | $10,152.00 | |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $1,060.80 | $1,455.78 | $1,679.33 | |
Cigna
| Facility | $1,277.86 | $1,277.86 | $1,338.41 | |
Cigna
| Facility | AS | $124.67 | $124.67 | $124.67 |
United
| Facility | $842.00 | $4,539.00 | $10,069.00 |