| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.06 | $3,593.50 | $8,074.63 | |
BCBS
| Facility | $4,503.33 | $8,650.50 | $13,227.00 | |
Cigna
| Facility | $323.00 | $323.00 | $662.42 | |
Cigna
| Facility | AS | $16.48 | $16.48 | $16.48 |
United
| Facility | $1,403.00 | $3,325.00 | $8,152.00 |