| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $553.81 | $2,459.00 | $7,431.00 | |
BCBS
| Facility | $580.23 | $2,485.87 | $12,621.87 | |
Cigna
| Facility | $456.93 | $456.93 | $632.00 | |
Cigna
| Facility | AS | $39.89 | $39.89 | $39.89 |
United
| Facility | $293.00 | $1,158.00 | $2,720.00 |