| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,019.78 | $3,008.50 | $7,325.50 | |
BCBS
| Facility | $5,692.00 | $9,565.00 | $16,490.00 | |
Cigna
| Facility | $1,006.12 | $1,006.12 | $1,802.00 | |
Cigna
| Facility | AS | $99.84 | $99.84 | $99.84 |
United
| Facility | $2,200.00 | $5,111.00 | $9,202.00 |