| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,250.00 | |
BCBS
| Facility | $3,353.71 | $4,069.89 | $5,475.31 | |
Cigna
| Professional | $1,102.00 | $1,102.00 | $1,102.00 | |
United
| Facility | $410.00 | $1,141.00 | $2,481.00 |