| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $4,897.79 | $12,022.64 | |
Aetna
| Facility | 50 | $0.58 | $8,912.51 | $33,113.11 |
BCBS
| Facility | $4,570.88 | $13,489.63 | $28,840.32 | |
Cigna
| Facility | $323.59 | $6,309.57 | $18,197.01 | |
Cigna
| Facility | AS | $389.05 | $389.05 | $389.05 |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |