| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $486.50 | $2,593.50 | $7,431.00 | |
BCBS
| Facility | $2,456.00 | $7,264.00 | $10,043.00 | |
Cigna
| Facility | $413.80 | $413.80 | $908.00 | |
Cigna
| Facility | AS | $29.34 | $29.34 | $29.34 |
United
| Facility | $444.00 | $1,221.00 | $3,011.00 |