| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $796.45 | $854.22 | $8,229.00 | |
Anthem BCBS
| Facility | $4,934.66 | $8,915.89 | $14,897.21 | |
CareSource
| Facility | $792.66 | $1,087.18 | $1,254.15 | |
Cigna
| Facility | $858.62 | $953.74 | $953.74 | |
Cigna
| Facility | AS | $93.28 | $93.28 | $93.28 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |