| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.00 | $4,479.00 | $21,662.00 | |
BCBS
| Facility | $2,089.36 | $16,884.99 | $26,063.53 | |
Cigna
| Facility | $12,892.65 | $21,536.82 | $28,778.08 | |
United
| Facility | $15,533.60 | $23,534.46 | $35,704.31 |