| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $3,019.95 | $9,772.37 | |
BCBS
| Facility | $4,677.35 | $11,220.18 | $17,378.01 | |
Cigna
| Facility | $389.05 | $660.69 | $10,964.78 | |
Cigna
| Facility | 62 | $245.47 | $245.47 | $245.47 |
Cigna
| Facility | AS | $38.90 | $38.90 | $38.90 |
United
| Facility | $269.15 | $1,288.25 | $6,025.60 |