| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,524.45 | $5,522.00 | $11,171.50 | |
BCBS
| Facility | $6,443.89 | $12,040.00 | $23,008.27 | |
Cigna
| Facility | $1,876.05 | $1,876.05 | $7,157.00 | |
Cigna
| Facility | AS | $133.02 | $133.02 | $133.02 |
United
| Facility | $3,206.00 | $6,759.00 | $12,241.00 |