| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $5,888.44 | $14,454.40 | |
BCBS
| Facility | $4,786.30 | $14,125.38 | $26,915.35 | |
Cigna
| Facility | $398.11 | $4,570.88 | $12,882.50 | |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |