| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $640.00 | $3,076.71 | $7,278.00 | |
BCBS
| Facility | $4,452.00 | $7,311.00 | $12,538.00 | |
Cigna
| Facility | $595.50 | $595.50 | $595.50 | |
United
| Facility | $4,010.50 | $7,835.50 | $14,658.61 |