| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $4,570.88 | $11,481.54 | |
BCBS
| Facility | $3,388.44 | $10,232.93 | $20,892.96 | |
Cigna
| Facility | $1,412.54 | $2,818.38 | $18,197.01 | |
Cigna
| Facility | AS | $141.25 | $141.25 | $141.25 |
United
| Facility | $851.14 | $3,235.94 | $10,471.29 |