| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $4,786.30 | $11,748.98 | |
BCBS
| Facility | $3,019.95 | $10,471.29 | $20,892.96 | |
Cigna
| Facility | $1,698.24 | $3,630.78 | $12,302.69 | |
United
| Facility | $3,019.95 | $8,709.64 | $19,054.61 |