| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.00 | $1,250.00 | $1,831.00 | |
BCBS
| Facility | $2,754.56 | $2,754.56 | $2,754.56 | |
Cigna
| Facility | $550.00 | $3,869.22 | $4,446.46 | |
United
| Facility | $700.00 | $2,011.00 | $6,612.00 |