| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $585.20 | $2,402.50 | $7,506.50 | |
BCBS
| Facility | $4,574.00 | $10,099.00 | $21,510.00 | |
Cigna
| Facility | $550.42 | $550.42 | $842.00 | |
Cigna
| Facility | 62 | $337.64 | $337.64 | $337.64 |
Cigna
| Facility | AS | $54.02 | $54.02 | $54.02 |
United
| Facility | $293.00 | $1,221.00 | $2,883.00 |