| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $5,623.41 | $14,125.38 | |
BCBS
| Facility | $4,073.80 | $11,481.54 | $25,703.96 | |
Cigna
| Facility | $398.11 | $2,187.76 | $7,244.36 | |
United
| Facility | $3,715.35 | $11,220.18 | $26,915.35 |