| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,989.00 | $9,720.00 | $16,411.00 | |
Anthem BCBS
| Professional | $110.88 | $138.60 | $262.14 | |
Cigna
| Facility | $13,296.25 | $13,296.25 | $13,296.25 | |
MVP Health Care
| Facility | $13,296.25 | $13,296.25 | $13,296.25 | |
United
| Facility | $2,031.00 | $4,840.00 | $9,202.00 |