| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $4,570.88 | $11,481.54 | |
BCBS
| Facility | $3,630.78 | $10,471.29 | $21,877.62 | |
Cigna
| Facility | $398.11 | $1,949.84 | $5,370.32 | |
Cigna
| Facility | AS | $134.90 | $134.90 | $134.90 |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |