| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $378.50 | $4,375.00 | $16,467.00 | |
BCBS
| Facility | $2,382.39 | $5,139.99 | $9,180.70 | |
Cigna
| Facility | $381.02 | $381.02 | $890.00 | |
Cigna
| Facility | AS | $37.39 | $37.39 | $37.39 |
Medcost
| Facility | $347.53 | $452.93 | $745.79 | |
Medcost
| Facility | 80 | $89.19 | $90.59 | $141.00 |
Medcost
| Facility | AS | $60.20 | $63.41 | $98.70 |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |