| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $4,786.30 | $11,481.54 | |
BCBS
| Facility | $3,235.94 | $8,511.38 | $16,218.10 | |
Cigna
| Facility | $323.59 | $2,630.27 | $7,244.36 | |
Cigna
| Facility | AS | $173.78 | $173.78 | $173.78 |
United
| Facility | $2,041.74 | $7,244.36 | $16,982.44 |