| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $4,786.30 | $11,481.54 | |
BCBS
| Facility | $4,677.35 | $13,489.63 | $28,183.83 | |
Cigna
| Facility | $398.11 | $5,623.41 | $15,848.93 | |
Cigna
| Facility | AS | $407.38 | $407.38 | $407.38 |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |