| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $4,024.14 | $9,859.00 | |
Anthem BCBS
| Facility | $34,495.37 | $74,732.42 | $90,489.02 | |
Cigna
| Facility | $2,767.50 | $2,767.50 | $2,767.50 | |
United
| Facility | $12,629.00 | $12,629.00 | $12,629.00 |