| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.00 | $6,085.00 | $19,307.20 | |
BCBS
| Facility | $2,200.00 | $15,766.00 | $24,503.75 | |
Cigna
| Facility | $13,091.88 | $19,930.64 | $26,988.00 | |
United
| Facility | $14,562.72 | $21,918.30 | $31,648.83 |