| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.00 | $5,100.00 | $31,157.50 | |
BCBS
| Facility | $2,089.36 | $23,907.56 | $37,488.57 | |
Cigna
| Facility | $18,544.18 | $30,977.56 | $41,393.05 | |
United
| Facility | $21,976.49 | $32,842.99 | $49,661.50 |