| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,163.64 | $9,062.00 | $18,276.00 | |
BCBS
| Facility | $4,783.09 | $10,824.58 | $17,240.66 | |
Cigna
| Facility | $890.00 | $890.00 | $1,155.76 | |
Cigna
| Facility | AS | $114.90 | $114.90 | $114.90 |
Medcost
| Facility | $1,055.98 | $1,354.00 | $2,223.66 | |
Medcost
| Facility | AS | $169.01 | $189.56 | $297.14 |
United
| Facility | $2,912.00 | $16,223.00 | $23,485.00 |