| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $4,365.16 | $10,964.78 | |
Aetna
| Facility | 22 | $3,162.28 | $3,801.89 | $7,762.47 |
BCBS
| Facility | $1,819.70 | $6,165.95 | $14,125.38 | |
Cigna
| Facility | $512.86 | $1,412.54 | $6,606.93 | |
Cigna
| Facility | 22 | $977.24 | $977.24 | $977.24 |
United
| Facility | $1,047.13 | $4,168.69 | $10,471.29 |