| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $1,318.26 | $2,818.38 | |
BCBS
| Facility | $10,471.29 | $10,471.29 | $12,302.69 | |
Cigna
| Facility | $5,754.40 | $11,481.54 | $30,902.95 | |
United
| Facility | $851.14 | $3,467.37 | $10,964.78 |