| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $4,570.88 | $11,220.18 | |
BCBS
| Facility | $2,187.76 | $8,511.38 | $16,982.44 | |
Cigna
| Facility | $79.43 | $223.87 | $616.60 | |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |