| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $552.16 | $2,647.00 | $7,572.00 | |
BCBS
| Facility | $580.23 | $3,713.29 | $11,469.57 | |
Cigna
| Facility | $458.15 | $458.15 | $632.00 | |
Cigna
| Facility | 62 | $250.96 | $250.96 | $250.96 |
Cigna
| Facility | AS | $40.15 | $40.15 | $40.15 |
United
| Facility | $293.00 | $1,158.00 | $2,733.00 |