| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $1,725.41 | $8,229.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,990.10 | $30,856.09 | |
CareSource
| Facility | $1,491.09 | $2,195.96 | $2,533.21 | |
Cigna
| Facility | $1,928.51 | $1,928.51 | $1,928.51 | |
Cigna
| Facility | AS | $190.74 | $190.74 | $190.74 |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |