| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $1,819.70 | $2,818.38 | |
BCBS
| Facility | $1,778.28 | $1,778.28 | $1,778.28 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $489.78 | $1,071.52 | $4,073.80 |