| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $5,248.07 | $12,022.64 | |
BCBS
| Facility | $2,290.87 | $5,495.41 | $12,022.64 | |
Cigna
| Facility | $323.59 | $2,511.89 | $6,760.83 | |
Cigna
| Facility | AS | $165.96 | $165.96 | $165.96 |
United
| Facility | $2,884.03 | $8,709.64 | $19,054.61 |