| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $5,754.40 | $13,803.84 | |
BCBS
| Facility | $2,630.27 | $6,456.54 | $12,589.25 | |
Cigna
| Facility | $660.69 | $1,348.96 | $3,981.07 | |
United
| Facility | $1,348.96 | $5,011.87 | $11,748.98 |