| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $3,235.94 | $9,549.93 | |
Aetna
| Facility | 62 | $10,000.00 | $10,000.00 | $10,000.00 |
BCBS
| Facility | $3,715.35 | $9,120.11 | $20,892.96 | |
Cigna
| Facility | $316.23 | $851.14 | $2,511.89 | |
Cigna
| Facility | 62 | $338.84 | $338.84 | $338.84 |
Cigna
| Facility | AS | $53.70 | $53.70 | $53.70 |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |