| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $4,570.88 | $11,220.18 | |
BCBS
| Facility | $2,691.53 | $5,370.32 | $14,454.40 | |
Cigna
| Facility | $34.67 | $426.58 | $1,174.90 | |
Cigna
| Facility | AS | $25.70 | $25.70 | $25.70 |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |