| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,897.00 | $1,897.00 | $1,897.00 | |
BCBS
| Professional | $2,371.25 | $2,940.00 | $6,070.00 | |
Cigna
| Facility | $3,794.28 | $3,794.28 | $3,794.28 | |
United
| Professional | $796.74 | $796.74 | $1,897.00 |