| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,755.98 | |
BCBS
| Facility | $17,484.66 | $21,218.47 | $28,545.63 | |
Cigna
| Facility | $3,800.00 | $3,800.00 | $11,745.00 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |