| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.00 | $1,761.33 | $3,109.00 | |
BCBS
| Facility | $3,555.03 | $3,555.03 | $4,266.04 | |
Cigna
| Facility | $3,936.64 | $3,936.64 | $3,936.64 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,626.00 |