| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $1,258.93 | $6,456.54 | |
BCBS
| Facility | $3,090.30 | $3,630.78 | $4,897.79 | |
Cigna
| Facility | $933.25 | $933.25 | $933.25 | |
Cigna
| Facility | AS | $93.33 | $93.33 | $93.33 |
United
| Facility | $1,122.02 | $3,630.78 | $5,128.61 |