| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $6,025.60 | $15,135.61 | |
BCBS
| Facility | $3,388.44 | $9,332.54 | $17,782.79 | |
Cigna
| Facility | $398.11 | $2,187.76 | $6,760.83 | |
United
| Facility | $3,630.78 | $11,481.54 | $28,840.32 |