| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $1,778.28 | $8,511.38 | |
Anthem BCBS
| Facility | $9,549.93 | $10,715.19 | $11,220.18 | |
CareSource
| Facility | $199.53 | $288.40 | $371.54 | |
Cigna
| Facility | $34.67 | $389.05 | $389.05 | |
Cigna
| Facility | 62 | $245.47 | $245.47 | $245.47 |
Cigna
| Facility | AS | $38.90 | $38.90 | $38.90 |
United
| Facility | $50.12 | $602.56 | $3,162.28 |