| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Anthem BCBS
| Facility | $10,334.70 | $11,483.00 | $21,862.00 | |
Cigna
| Facility | $1,013.29 | $3,906.58 | $4,043.31 | |
Cigna
| Facility | AS | $100.85 | $100.85 | $100.85 |
United
| Facility | $12,399.00 | $12,399.00 | $12,399.00 |