| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $2,818.38 | $9,549.93 | |
BCBS
| Facility | $4,677.35 | $11,220.18 | $17,378.01 | |
Cigna
| Facility | $275.42 | $741.31 | $10,964.78 | |
Cigna
| Facility | 22 | $524.81 | $524.81 | $524.81 |
Cigna
| Facility | 62 | $275.42 | $275.42 | $275.42 |
Cigna
| Facility | AS | $43.65 | $43.65 | $43.65 |
United
| Facility | $269.15 | $1,288.25 | $6,025.60 |