| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.51 | $3,113.50 | $8,074.63 | |
BCBS
| Facility | $2,393.00 | $4,516.99 | $8,187.38 | |
Cigna
| Facility | $446.40 | $446.40 | $908.00 | |
Cigna
| Facility | AS | $31.65 | $31.65 | $31.65 |
United
| Facility | $1,292.00 | $3,325.00 | $8,198.00 |