| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $4,466.84 | $10,964.78 | |
BCBS
| Facility | $2,818.38 | $5,888.44 | $13,489.63 | |
Cigna
| Facility | $229.09 | $436.52 | $10,964.78 | |
Cigna
| Facility | AS | $22.91 | $22.91 | $22.91 |
United
| Facility | $269.15 | $1,202.26 | $3,715.35 |