| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,098.00 | $12,905.00 | $17,206.00 | |
Anthem BCBS
| Professional | $32.72 | $38.50 | $117.81 | |
Cigna
| Facility | $1,674.74 | $1,674.74 | $1,674.74 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |