| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $6,456.54 | $15,848.93 | |
Aetna
| Facility | 50 | $2,884.03 | $11,220.18 | $14,791.08 |
BCBS
| Facility | $3,981.07 | $9,120.11 | $25,703.96 | |
Cigna
| Facility | $1,621.81 | $3,890.45 | $28,183.83 | |
Cigna
| Facility | 22 | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna
| Facility | AS | $190.55 | $190.55 | $190.55 |
United
| Facility | $2,511.89 | $7,413.10 | $17,378.01 |