| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $1,445.44 | $12,302.69 | |
BCBS
| Facility | $14,125.38 | $16,595.87 | $22,908.68 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Facility | AS | $54.95 | $54.95 | $54.95 |
United
| Facility | $251.19 | $588.84 | $1,548.82 |