| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $483.73 | $1,397.00 | $4,478.00 | |
BCBS
| Facility | $2,875.60 | $2,875.60 | $3,450.72 | |
Cigna
| Facility | $3,558.75 | $3,558.75 | $3,558.75 | |
United
| Facility | $980.00 | $1,650.00 | $4,233.00 |