| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $1,995.26 | $5,623.41 | |
BCBS
| Facility | $2,951.21 | $2,951.21 | $2,951.21 | |
Cigna
| Facility | $3,019.95 | $3,019.95 | $6,456.54 | |
United
| Facility | $977.24 | $4,168.69 | $10,715.19 |