| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $4,677.35 | $5,623.41 | $7,585.78 | |
Cigna
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
Cigna
| Facility | AS | $151.36 | $151.36 | $151.36 |
United
| Facility | $1,096.48 | $3,630.78 | $5,248.07 |