| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,718.95 | $4,883.00 | $9,996.00 | |
BCBS
| Facility | $6,977.00 | $18,175.43 | $42,671.63 | |
Cigna
| Facility | $1,544.66 | $1,544.66 | $4,093.95 | |
Cigna
| Facility | AS | $149.54 | $149.54 | $149.54 |
United
| Facility | $1,367.00 | $3,236.00 | $7,168.00 |