| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $4,168.69 | $10,715.19 | |
BCBS
| Facility | $2,041.74 | $6,025.60 | $12,302.69 | |
Cigna
| Facility | $891.25 | $1,862.09 | $4,897.79 | |
United
| Facility | $1,000.00 | $2,884.03 | $6,309.57 |