| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,787.07 | $4,358.59 | $8,717.00 | |
BCBS
| Facility | $3,565.00 | $9,458.00 | $17,206.00 | |
Cigna
| Facility | $730.00 | $956.00 | $2,101.55 | |
Cigna
| Facility | AS | $200.73 | $200.73 | $200.73 |
United
| Facility | $718.00 | $2,693.00 | $7,326.50 |