| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,698.24 | $3,090.30 | |
BCBS
| Facility | $2,630.27 | $2,630.27 | $3,548.13 | |
Cigna
| Facility | $512.86 | $562.34 | $1,513.56 | |
United
| Facility | $891.25 | $1,862.09 | $7,079.46 |