| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $4,677.35 | $13,182.57 | |
BCBS
| Facility | $1,318.26 | $5,248.07 | $10,715.19 | |
Cigna
| Facility | $371.54 | $776.25 | $4,677.35 | |
Cigna
| Facility | 22 | $933.25 | $933.25 | $933.25 |
Medcost
| Facility | $457.09 | $630.96 | $1,023.29 | |
United
| Facility | $933.25 | $10,232.93 | $17,378.01 |