| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $1,819.70 | $4,466.84 | |
BCBS
| Facility | $1,380.38 | $1,380.38 | $1,380.38 | |
Cigna
| Facility | $1,445.44 | $1,445.44 | $3,388.44 | |
United
| Facility | $724.44 | $2,691.53 | $6,606.93 |