| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $2,818.38 | $10,471.29 | |
Anthem BCBS
| Facility | $9,549.93 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $204.17 | $288.40 | $346.74 | |
Cigna
| Facility | $34.67 | $398.11 | $398.11 | |
Cigna
| Facility | AS | $39.81 | $39.81 | $39.81 |
United
| Facility | $50.12 | $602.56 | $3,162.28 |