| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.52 | $1,140.00 | $2,736.70 | |
BCBS
| Facility | $1,743.60 | $1,743.60 | $1,743.60 | |
Cigna
| Facility | $1,643.53 | $1,643.53 | $3,888.72 | |
United
| Facility | $860.00 | $2,717.00 | $7,175.00 |