| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.35 | $787.00 | $3,740.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $238.92 | $322.54 | $394.22 | |
Cigna
| Facility | $293.27 | $293.27 | $293.27 | |
Cigna
| Facility | 62 | $179.89 | $179.89 | $179.89 |
Cigna
| Facility | AS | $28.78 | $28.78 | $28.78 |
United
| Facility | $50.00 | $668.00 | $3,176.00 |