| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $2,818.38 | $8,511.38 | |
Anthem BCBS
| Facility | $9,332.54 | $10,715.19 | $18,620.87 | |
CareSource
| Facility | $1,318.26 | $1,905.46 | $2,290.87 | |
Cigna
| Facility | $34.67 | $2,570.40 | $2,570.40 | |
Cigna
| Facility | AS | $257.04 | $257.04 | $257.04 |
United
| Facility | $602.56 | $4,466.84 | $30,199.52 |