| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.33 | $1,517.00 | $9,034.00 | |
BCBS
| Facility | $4,063.64 | $4,063.64 | $4,876.37 | |
Cigna
| Facility | $1,639.64 | $1,639.64 | $1,639.64 | |
United
| Facility | $950.00 | $1,511.00 | $4,064.00 |