| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.35 | $6,548.00 | $16,677.12 | |
BCBS
| Facility | $2,994.01 | $6,728.87 | $11,525.20 | |
Cigna
| Facility | $580.00 | $619.72 | $2,581.96 | |
Cigna
| Facility | AS | $61.52 | $61.52 | $61.52 |
Medcost
| Facility | $620.85 | $799.97 | $1,249.19 | |
Medcost
| Facility | 80 | $136.90 | $164.60 | $254.80 |
Medcost
| Facility | AS | $95.83 | $115.22 | $178.36 |
United
| Facility | $2,155.00 | $12,456.00 | $19,591.00 |