| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $4,677.35 | $11,481.54 | |
BCBS
| Facility | $4,570.88 | $12,882.50 | $53,703.18 | |
Cigna
| Facility | $323.59 | $2,454.71 | $6,760.83 | |
Cigna
| Facility | AS | $141.25 | $141.25 | $141.25 |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |