| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $471.85 | $2,485.00 | $7,500.00 | |
BCBS
| Facility | $4,755.00 | $9,098.00 | $20,057.00 | |
Cigna
| Facility | $505.82 | $505.82 | $641.21 | |
Cigna
| Facility | AS | $35.86 | $35.86 | $35.86 |
United
| Facility | $293.00 | $1,221.00 | $2,733.00 |