| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $1,819.70 | $3,019.95 | |
BCBS
| Facility | $5,248.07 | $5,248.07 | $7,244.36 | |
Cigna
| Facility | $4,677.35 | $4,677.35 | $4,677.35 | |
United
| Facility | $2,089.30 | $5,495.41 | $12,302.69 |