| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.24 | $3,649.50 | $8,475.50 | |
BCBS
| Facility | $4,755.00 | $9,992.00 | $17,206.00 | |
Cigna
| Facility | $430.98 | $676.48 | $965.25 | |
Cigna
| Facility | AS | $25.17 | $25.17 | $25.17 |
United
| Facility | $1,403.00 | $3,325.00 | $8,198.00 |