| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $654.99 | $10,500.00 | $21,886.00 | |
BCBS
| Facility | $11,420.26 | $19,490.72 | $39,699.76 | |
Cigna
| Facility | $17,325.08 | $17,325.08 | $22,263.04 | |
Medcost
| Facility | $493.22 | $655.72 | $1,085.69 | |
United
| Facility | $4,252.00 | $26,459.00 | $63,302.00 |