| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $1,819.70 | $1,995.26 | |
BCBS
| Facility | $7,585.78 | $7,585.78 | $7,585.78 | |
Cigna
| Facility | $6,165.95 | $11,481.54 | $30,902.95 | |
United
| Facility | $1,174.90 | $6,025.60 | $14,454.40 |