| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $5,888.44 | $14,454.40 | |
BCBS
| Facility | $3,801.89 | $10,964.78 | $21,379.62 | |
Cigna
| Facility | $1,000.00 | $2,454.71 | $5,888.44 | |
United
| Facility | $2,454.71 | $7,244.36 | $16,218.10 |