| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.90 | $4,751.00 | $16,467.00 | |
BCBS
| Facility | $2,187.00 | $4,855.42 | $9,565.53 | |
Cigna
| Facility | $2,106.17 | $2,106.17 | $2,706.47 | |
Medcost
| Facility | $152.65 | $208.54 | $333.24 | |
United
| Facility | $791.00 | $10,257.00 | $16,249.00 |