| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $5,888.44 | $16,595.87 | |
Aetna
| Facility | 22 | $6,606.93 | $6,606.93 | $6,606.93 |
BCBS
| Facility | $3,890.45 | $10,964.78 | $22,908.68 | |
Cigna
| Facility | $398.11 | $3,235.94 | $9,120.11 | |
Cigna
| Facility | 22 | $2,398.83 | $2,398.83 | $2,398.83 |
United
| Facility | $3,630.78 | $11,481.54 | $28,840.32 |