| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $368.46 | $368.46 | $368.46 | |
BCBS
| Facility | $2,208.50 | $15,512.96 | $17,194.36 | |
Cigna
| Facility | $21,590.79 | $35,444.80 | $37,955.26 | |
United
| Facility | $16,036.73 | $16,036.73 | $16,036.73 |