| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,331.21 | $9,859.00 | |
Anthem BCBS
| Facility | $28,613.70 | $31,793.00 | $50,515.00 | |
Cigna
| Facility | $1,269.96 | $2,472.40 | $2,558.92 | |
United
| Facility | $12,399.00 | $12,399.00 | $12,399.00 |