| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,222.00 | $1,927.00 | $3,412.00 | |
BCBS
| Facility | $13,455.92 | $16,329.40 | $21,968.27 | |
Cigna
| Facility | $5,250.00 | $11,123.00 | $13,458.00 | |
United
| Facility | $1,500.00 | $10,088.00 | $20,222.00 |