| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $516.33 | $7,799.00 | $13,335.00 | |
BCBS
| Facility | $1,545.00 | $4,118.22 | $13,344.69 | |
Cigna
| Facility | $375.00 | $735.65 | $4,994.78 | |
Medcost
| Facility | $508.52 | $4,932.30 | $7,812.14 | |
United
| Facility | $1,250.00 | $17,146.00 | $24,161.00 |