| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $1,288.25 | $2,511.89 | |
BCBS
| Facility | $1,778.28 | $1,778.28 | $2,454.71 | |
Cigna
| Facility | $489.78 | $512.86 | $933.25 | |
United
| Facility | $537.03 | $1,288.25 | $4,365.16 |