| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $1,071.52 | $3,467.37 | |
BCBS
| Facility | $21,877.62 | $21,877.62 | $30,199.52 | |
Cigna
| Facility | $20,892.96 | $20,892.96 | $20,892.96 | |
United
| Facility | $3,630.78 | $10,964.78 | $26,302.68 |