| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.00 | $1,502.00 | $2,575.00 | |
BCBS
| Facility | $16,619.43 | $16,619.43 | $16,619.43 | |
Cigna
| Facility | $4,524.92 | $13,727.38 | $16,989.33 | |
United
| Facility | $860.00 | $3,066.00 | $8,411.00 |