| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.00 | $5,100.00 | $14,064.60 | |
BCBS
| Facility | $2,089.36 | $11,211.00 | $17,356.37 | |
Cigna
| Facility | $9,273.17 | $14,098.81 | $19,116.00 | |
United
| Facility | $10,085.60 | $15,280.37 | $22,417.33 |