| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,211.61 | $4,147.50 | $8,561.00 | |
BCBS
| Facility | $4,247.00 | $10,850.30 | $24,835.49 | |
Cigna
| Facility | $895.00 | $950.00 | $1,155.76 | |
Cigna
| Facility | AS | $114.90 | $114.90 | $114.90 |
United
| Facility | $2,912.00 | $6,231.00 | $11,869.99 |