| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $1,258.93 | $5,011.87 | |
BCBS
| Facility | $14,125.38 | $16,595.87 | $22,908.68 | |
Cigna
| Facility | $676.08 | $676.08 | $676.08 | |
Cigna
| Facility | 22 | $812.83 | $812.83 | $812.83 |
Cigna
| Facility | 62 | $416.87 | $416.87 | $416.87 |
Cigna
| Facility | AS | $67.61 | $67.61 | $67.61 |
United
| Facility | $1,202.26 | $4,168.69 | $6,309.57 |