| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.37 | $1,074.00 | $3,109.00 | |
BCBS
| Facility | $2,150.23 | $2,150.23 | $2,580.29 | |
Cigna
| Facility | $1,639.64 | $1,639.64 | $1,639.64 | |
United
| Facility | $330.00 | $811.00 | $1,574.00 |