| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.00 | $4,387.00 | $8,763.29 | |
BCBS
| Facility | $4,984.50 | $9,620.00 | $16,096.49 | |
Cigna
| Facility | $2,266.40 | $6,775.76 | $9,672.39 | |
Cigna
| Facility | AS | $108.27 | $108.27 | $108.27 |
United
| Facility | $1,292.00 | $3,500.00 | $9,300.00 |