| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $527.71 | $2,593.50 | $7,431.00 | |
Aetna
| Facility | 62 | $9,996.00 | $9,996.00 | $9,996.00 |
BCBS
| Facility | $6,153.00 | $12,916.00 | $21,453.35 | |
Cigna
| Facility | $493.73 | $493.73 | $908.00 | |
Cigna
| Facility | 62 | $218.80 | $218.80 | $218.80 |
Cigna
| Facility | AS | $35.01 | $35.01 | $35.01 |
United
| Facility | $1,292.00 | $3,325.00 | $8,198.00 |