| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $4,365.16 | $10,964.78 | |
BCBS
| Facility | $3,162.28 | $8,511.38 | $20,417.38 | |
Cigna
| Facility | $1,698.24 | $3,162.28 | $8,709.64 | |
Cigna
| Facility | AS | $169.82 | $169.82 | $169.82 |
United
| Facility | $2,454.71 | $7,244.36 | $16,982.44 |