| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $2,818.38 | $8,511.38 | |
Anthem BCBS
| Facility | $6,456.54 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $758.58 | $1,047.13 | $1,258.93 | |
Cigna
| Facility | $34.67 | $1,412.54 | $1,412.54 | |
Cigna
| Facility | AS | $141.25 | $141.25 | $141.25 |
United
| Facility | $602.56 | $4,466.84 | $30,199.52 |