| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $2,398.83 | $11,220.18 | |
BCBS
| Facility | $22,387.21 | $26,915.35 | $36,307.81 | |
Cigna
| Facility | $758.58 | $758.58 | $758.58 | |
United
| Facility | $251.19 | $645.65 | $21,877.62 |