| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $998.49 | $1,821.00 | $8,241.00 | |
BCBS
| Facility | $4,714.07 | $4,714.07 | $5,656.88 | |
Cigna
| Facility | $3,558.75 | $3,558.75 | $3,558.75 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,626.00 |