| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $3,235.94 | $9,549.93 | |
BCBS
| Facility | $3,890.45 | $10,232.93 | $16,982.44 | |
Cigna
| Facility | $239.88 | $602.56 | $1,621.81 | |
Cigna
| Facility | AS | $40.74 | $40.74 | $40.74 |
United
| Facility | $269.15 | $1,202.26 | $3,801.89 |