| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.73 | $2,892.50 | $7,879.32 | |
BCBS
| Facility | $2,399.48 | $4,699.53 | $7,874.90 | |
Cigna
| Facility | $403.75 | $403.75 | $632.00 | |
United
| Facility | $1,185.00 | $3,269.00 | $7,384.00 |