| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $4,897.79 | $11,748.98 | |
BCBS
| Facility | $3,235.94 | $8,912.51 | $16,595.87 | |
Cigna
| Facility | $131.83 | $239.88 | $707.95 | |
Cigna
| Facility | AS | $13.18 | $13.18 | $13.18 |
United
| Facility | $269.15 | $1,202.26 | $3,630.78 |