| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,177.66 | $4,366.59 | $8,732.47 | |
Aetna
| Facility | 50 | $8,986.00 | $8,986.00 | $10,446.00 |
BCBS
| Facility | $7,438.50 | $15,492.50 | $27,805.73 | |
Cigna
| Facility | $2,612.92 | $2,612.92 | $3,648.53 | |
Cigna
| Facility | AS | $258.70 | $258.70 | $258.70 |
United
| Facility | $1,403.00 | $3,325.00 | $8,198.00 |