| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $4,786.30 | $11,481.54 | |
BCBS
| Facility | $4,677.35 | $12,302.69 | $26,915.35 | |
Cigna
| Facility | $323.59 | $4,786.30 | $13,489.63 | |
Cigna
| Facility | AS | $331.13 | $331.13 | $331.13 |
United
| Facility | $812.83 | $3,162.28 | $10,232.93 |