| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.31 | $5,757.00 | $12,332.18 | |
Aetna
| Facility | 50 | $7,424.47 | $9,774.85 | $9,774.85 |
BCBS
| Facility | $4,989.00 | $9,720.00 | $17,206.00 | |
Cigna
| Facility | $4,769.12 | $5,034.57 | $6,221.63 | |
Cigna
| Facility | AS | $124.67 | $124.67 | $124.67 |
United
| Facility | $3,059.00 | $6,527.50 | $12,055.49 |