| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.00 | $5,100.00 | $19,784.30 | |
BCBS
| Facility | $2,089.36 | $15,627.12 | $23,804.37 | |
Cigna
| Facility | $13,044.34 | $19,670.04 | $26,283.63 | |
United
| Facility | $14,187.16 | $21,494.52 | $31,533.90 |