| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $781.26 | $1,305.00 | $3,804.00 | |
BCBS
| Facility | $4,782.27 | $4,782.27 | $5,738.72 | |
Cigna
| Facility | $3,166.25 | $3,166.25 | $3,166.25 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,626.00 |