| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,513.56 | $2,570.40 | |
BCBS
| Facility | $1,318.26 | $1,318.26 | $1,318.26 | |
Cigna
| Facility | $1,258.93 | $1,318.26 | $1,380.38 | |
United
| Facility | $630.96 | $1,621.81 | $4,265.80 |