| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $4,570.88 | $11,481.54 | |
BCBS
| Facility | $2,454.71 | $5,495.41 | $12,022.64 | |
Cigna
| Facility | $309.03 | $630.96 | $1,949.84 | |
Cigna
| Facility | AS | $50.12 | $50.12 | $50.12 |
United
| Facility | $812.83 | $3,162.28 | $10,232.93 |