| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $4,677.35 | $11,481.54 | |
BCBS
| Facility | $3,162.28 | $8,317.64 | $15,488.17 | |
Cigna
| Facility | $794.33 | $1,513.56 | $3,630.78 | |
Cigna
| Facility | AS | $85.11 | $85.11 | $85.11 |
United
| Facility | $1,949.84 | $5,495.41 | $12,302.69 |