| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,445.44 | $2,398.83 | |
BCBS
| Facility | $14,125.38 | $16,595.87 | $22,908.68 | |
Cigna
| Facility | $436.52 | $3,801.89 | $11,748.98 | |
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 | $251.19 | $588.84 | $2,754.23 |