| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $765.74 | $1,517.00 | $9,034.00 | |
BCBS
| Facility | $4,063.64 | $4,063.64 | $4,876.37 | |
Cigna
| Facility | $2,090.29 | $2,090.29 | $2,090.29 | |
United
| Facility | $980.00 | $1,650.00 | $4,064.00 |