| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $3,311.31 | $3,890.45 | $5,370.32 | |
Cigna
| Facility | $870.96 | $870.96 | $870.96 | |
United
| Facility | $251.19 | $588.84 | $1,659.59 |