| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,445.44 | $1,862.09 | |
BCBS
| Facility | $14,125.38 | $16,595.87 | $22,908.68 | |
Cigna
| Facility | $478.63 | $478.63 | $478.63 | |
Cigna
| Facility | AS | $47.86 | $47.86 | $47.86 |
United
| Facility | $251.19 | $562.34 | $1,348.96 |