| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.00 | $1,070.00 | $2,812.00 | |
BCBS
| Facility | $8,703.29 | $8,703.29 | $10,443.95 | |
Cigna
| Facility | $3,166.25 | $3,166.25 | $3,166.25 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,652.00 |