| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $716.59 | $2,351.57 | $6,220.50 | |
BCBS
| Facility | $4,574.00 | $8,170.00 | $16,083.00 | |
Cigna
| Facility | $858.77 | $858.77 | $858.77 | |
Cigna
| Facility | 62 | $526.61 | $526.61 | $526.61 |
Cigna
| Facility | AS | $84.26 | $84.26 | $84.26 |
United
| Facility | $293.00 | $1,221.00 | $2,733.00 |