| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $1,621.81 | $2,454.71 | |
BCBS
| Facility | $8,317.64 | $8,317.64 | $11,481.54 | |
Cigna
| Facility | $8,709.64 | $8,709.64 | $10,000.00 | |
United
| Facility | $2,884.03 | $8,511.38 | $15,135.61 |