| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,584.89 | $2,570.40 | |
BCBS
| Facility | $10,964.78 | $10,964.78 | $10,964.78 | |
Cigna
| Facility | $7,943.28 | $16,595.87 | $30,902.95 | |
United
| Facility | $1,380.38 | $12,302.69 | $20,892.96 |