| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,109.58 | $3,682.00 | $8,229.00 | |
BCBS
| Facility | $4,452.00 | $7,363.00 | $12,538.00 | |
Cigna
| Facility | $1,092.83 | $1,092.83 | $4,347.05 | |
Cigna
| Facility | AS | $106.22 | $106.22 | $106.22 |
United
| Facility | $4,596.00 | $9,193.00 | $15,824.00 |