| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $889.08 | $3,279.00 | $7,602.00 | |
BCBS
| Facility | $4,749.00 | $8,455.00 | $16,490.00 | |
Cigna
| Facility | $1,220.88 | $2,000.36 | $5,524.56 | |
United
| Facility | $1,832.00 | $3,764.00 | $7,934.00 |