| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.15 | $218.72 | $418.08 | |
BCBS
| Facility | $2,456.00 | $9,596.00 | $18,150.00 | |
Cigna
| Facility | $7,140.00 | $11,353.00 | $21,620.92 | |
United
| Facility | $444.00 | $1,221.00 | $2,883.00 |