| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.80 | $787.00 | $3,740.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,253.00 | |
CareSource
| Facility | $198.68 | $296.20 | $341.70 | |
Cigna
| Facility | $260.63 | $260.63 | $260.63 | |
Cigna
| Facility | 62 | $159.84 | $159.84 | $159.84 |
Cigna
| Facility | AS | $25.58 | $25.58 | $25.58 |
United
| Facility | $50.00 | $668.00 | $3,176.00 |