| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $2,691.53 | $8,511.38 | |
BCBS
| Facility | $1,513.56 | $3,801.89 | $10,232.93 | |
Cigna
| Facility | $151.36 | $416.87 | $1,318.26 | |
Cigna
| Facility | AS | $15.14 | $15.14 | $15.14 |
United
| Facility | $295.12 | $1,202.26 | $3,630.78 |