| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $4,786.30 | $11,481.54 | |
BCBS
| Facility | $4,897.79 | $13,803.84 | $28,183.83 | |
Cigna
| Facility | $398.11 | $4,570.88 | $15,848.93 | |
Cigna
| Facility | AS | $398.11 | $398.11 | $398.11 |
United
| Facility | $812.83 | $3,162.28 | $10,232.93 |