| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $644.52 | $1,540.07 | $2,825.00 | |
BCBS
| Facility | $1,783.73 | $1,783.73 | $1,783.73 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $455.00 | $858.00 | $1,957.00 |