| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,012.50 | $12,475.20 | $16,734.40 | |
BCBS
| Facility | $3,897.00 | $12,150.40 | $14,447.38 | |
Cigna
| Facility | $10,603.92 | $12,882.00 | $20,275.87 | |
United
| Facility | $1,350.00 | $15,915.37 | $20,099.99 |