| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $1,995.26 | $4,466.84 | |
BCBS
| Facility | $10,232.93 | $10,232.93 | $10,232.93 | |
Cigna
| Facility | $7,585.78 | $16,595.87 | $30,902.95 | |
United
| Facility | $1,348.96 | $9,332.54 | $25,118.86 |