| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $492.81 | $1,320.00 | $40,377.32 | |
BCBS
| Facility | $27,926.45 | $27,926.45 | $42,551.08 | |
Cigna
| Facility | $14,086.37 | $14,086.37 | $14,086.37 | |
United
| Facility | $1,840.00 | $14,672.00 | $29,426.00 |