| 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 | $1,995.26 | $2,884.03 | $3,467.37 | |
Cigna
| Facility | $34.67 | $3,890.45 | $3,890.45 | |
Cigna
| Facility | AS | $389.05 | $389.05 | $389.05 |
United
| Facility | $602.56 | $4,466.84 | $30,199.52 |