| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.50 | $1,140.00 | $2,575.00 | |
BCBS
| Facility | $1,790.06 | $1,790.06 | $1,790.06 | |
Cigna
| Facility | $1,712.45 | $1,712.45 | $3,886.85 | |
United
| Facility | $860.00 | $2,717.00 | $7,175.00 |