| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $920.00 | $1,295.00 | $3,804.00 | |
BCBS
| Facility | $5,430.62 | $5,430.62 | $6,516.74 | |
Cigna
| Facility | $2,519.08 | $2,519.08 | $2,519.08 | |
United
| Facility | $980.00 | $1,650.00 | $4,064.00 |