| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $4,570.88 | $11,220.18 | |
BCBS
| Facility | $4,073.80 | $11,220.18 | $21,379.62 | |
Cigna
| Facility | $323.59 | $4,897.79 | $14,125.38 | |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |