| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $5,623.41 | $13,182.57 | |
BCBS
| Facility | $4,466.84 | $12,302.69 | $33,113.11 | |
Cigna
| Facility | $398.11 | $3,630.78 | $10,715.19 | |
Cigna
| Facility | AS | $229.09 | $229.09 | $229.09 |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |