| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.12 | $1,218.00 | $3,804.00 | |
BCBS
| Facility | $17,226.98 | $17,226.98 | $20,672.38 | |
Cigna
| Facility | $4,140.21 | $4,140.21 | $4,140.21 | |
United
| Facility | $1,565.00 | $2,828.00 | $6,957.00 |