| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.89 | $2,118.50 | $6,834.50 | |
BCBS
| Facility | $937.00 | $1,963.00 | $4,348.00 | |
Cigna
| Facility | $309.73 | $369.71 | $677.50 | |
Cigna
| Facility | AS | $15.23 | $15.23 | $15.23 |
United
| Facility | $363.50 | $1,189.50 | $2,808.00 |