| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,107.66 | $3,790.50 | $9,294.64 | |
BCBS
| Facility | $4,749.00 | $8,455.00 | $16,490.00 | |
Cigna
| Facility | $1,133.06 | $2,000.36 | $4,653.89 | |
Cigna
| Facility | AS | $112.33 | $112.33 | $112.33 |
United
| Facility | $3,283.50 | $6,724.50 | $12,958.50 |