| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $4,897.79 | $9,772.37 | |
BCBS
| Facility | $5,248.07 | $11,481.54 | $20,417.38 | |
Cigna
| Facility | $389.05 | $14,791.08 | $15,488.17 | |
Cigna
| Facility | 62 | $245.47 | $245.47 | $245.47 |
Cigna
| Facility | AS | $38.90 | $38.90 | $38.90 |
Medcost
| Facility | $186.21 | $263.03 | $416.87 | |
United
| Facility | $354.81 | $1,737.80 | $18,197.01 |