| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $3,162.28 | $9,549.93 | |
BCBS
| Facility | $2,818.38 | $6,165.95 | $13,803.84 | |
Cigna
| Facility | $295.12 | $630.96 | $1,862.09 | |
Cigna
| Facility | AS | $47.86 | $47.86 | $47.86 |
United
| Facility | $281.84 | $1,202.26 | $3,630.78 |