| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,242.00 | $4,100.00 | $8,500.00 | |
BCBS
| Facility | $4,128.50 | $10,010.55 | $24,062.91 | |
Cigna
| Facility | $895.00 | $950.00 | $1,096.83 | |
Cigna
| Facility | AS | $109.68 | $109.68 | $109.68 |
United
| Facility | $3,028.00 | $7,457.00 | $14,139.00 |