| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $1,513.56 | $2,754.23 | |
BCBS
| Facility | $3,019.95 | $3,630.78 | $4,897.79 | |
Cigna
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Facility | $251.19 | $549.54 | $1,348.96 |