| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,513.56 | $2,570.40 | |
BCBS
| Facility | $4,677.35 | $4,677.35 | $4,677.35 | |
Cigna
| Facility | $588.84 | $6,456.54 | $7,413.10 | |
United
| Facility | $954.99 | $3,162.28 | $14,125.38 |