| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,877.50 | $4,487.00 | $8,130.00 | |
BCBS
| Facility | $4,070.00 | $9,565.00 | $17,300.00 | |
Cigna
| Facility | $680.00 | $800.00 | $4,013.89 | |
Cigna
| Facility | 62 | $2,448.96 | $2,448.96 | $2,448.96 |
Cigna
| Facility | AS | $391.83 | $391.83 | $391.83 |
United
| Facility | $718.00 | $2,575.00 | $7,326.50 |