| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $779.50 | $3,401.00 | $7,920.26 | |
BCBS
| Facility | $4,006.84 | $10,710.50 | $22,790.97 | |
Cigna
| Facility | $734.65 | $734.65 | $856.74 | |
United
| Facility | $3,028.00 | $7,457.00 | $14,139.00 |