| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $1,445.44 | $2,398.83 | |
BCBS
| Facility | $14,125.38 | $16,595.87 | $22,908.68 | |
Cigna
| Facility | $389.05 | $3,801.89 | $11,748.98 | |
Cigna
| Facility | 62 | $245.47 | $245.47 | $245.47 |
Cigna
| Facility | AS | $38.90 | $38.90 | $38.90 |
United
| Facility | $251.19 | $588.84 | $2,754.23 |