| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $680.00 | $1,140.00 | $2,010.00 | |
BCBS
| Facility | $1,292.64 | $1,292.64 | $1,292.64 | |
Cigna
| Facility | $1,243.39 | $1,243.39 | $2,332.63 | |
United
| Facility | $624.00 | $1,530.00 | $5,231.79 |