| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $842.63 | $9,062.00 | $18,276.00 | |
BCBS
| Facility | $3,154.44 | $6,537.29 | $11,190.33 | |
Cigna
| Facility | $715.00 | $833.63 | $3,357.67 | |
Medcost
| Facility | $762.62 | $982.27 | $1,524.38 | |
United
| Facility | $2,155.00 | $12,456.00 | $19,591.00 |