| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $656.37 | $1,494.00 | $4,478.00 | |
BCBS
| Facility | $1,525.10 | $1,525.10 | $1,830.12 | |
Cigna
| Facility | $2,360.08 | $2,360.08 | $2,360.08 | |
United
| Facility | $980.00 | $2,052.00 | $4,064.00 |