| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.26 | $2,892.50 | $7,879.32 | |
BCBS
| Facility | $2,381.00 | $4,699.53 | $8,086.09 | |
Cigna
| Facility | $430.82 | $430.82 | $632.00 | |
Cigna
| Facility | AS | $32.72 | $32.72 | $32.72 |
United
| Facility | $1,185.00 | $3,269.00 | $7,384.00 |