| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,114.89 | $2,502.14 | |
Anthem BCBS
| Facility | $3,669.00 | $51,903.94 | $90,489.02 | |
Cigna
| Facility | $760.80 | $760.80 | $760.80 | |
United
| Facility | $12,629.00 | $12,629.00 | $12,629.00 |