| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.00 | $5,100.00 | $16,814.80 | |
BCBS
| Facility | $2,089.36 | $13,281.60 | $20,231.50 | |
Cigna
| Facility | $11,086.48 | $16,717.70 | $22,338.64 | |
United
| Facility | $12,057.77 | $18,268.34 | $26,800.89 |