| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $989.00 | $1,295.00 | $3,804.00 | |
BCBS
| Facility | $3,027.36 | $3,027.36 | $3,632.83 | |
Cigna
| Facility | $4,700.24 | $4,700.24 | $4,700.24 | |
United
| Facility | $1,240.00 | $2,268.00 | $5,626.00 |