| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $1,258.93 | $2,187.76 | |
BCBS
| Facility | $3,019.95 | $4,897.79 | $6,760.83 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Facility | AS | $63.10 | $63.10 | $63.10 |
United
| Facility | $831.76 | $2,951.21 | $4,265.80 |