| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $4,897.79 | $14,791.08 | |
BCBS
| Facility | $4,570.88 | $12,882.50 | $53,703.18 | |
Cigna
| Facility | $131.83 | $371.54 | $1,023.29 | |
Cigna
| Facility | AS | $21.88 | $21.88 | $21.88 |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |