| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.46 | $1,295.00 | $3,804.00 | |
BCBS
| Facility | $21,881.84 | $21,881.84 | $26,258.21 | |
Cigna
| Facility | $20,797.62 | $20,797.62 | $20,797.62 | |
United
| Facility | $3,480.00 | $10,126.00 | $20,835.00 |