| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.73 | $2,892.50 | $7,879.32 | |
BCBS
| Facility | $2,399.48 | $4,699.53 | $7,874.90 | |
Cigna
| Facility | $359.75 | $361.50 | $632.00 | |
Cigna
| Facility | AS | $19.50 | $19.50 | $19.50 |
United
| Facility | $1,207.50 | $2,958.50 | $6,443.50 |