| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,276.77 | $13,023.50 | $17,469.90 | |
BCBS
| Facility | $850.00 | $850.00 | $850.00 | |
Cigna
| Facility | $11,069.99 | $16,330.36 | $18,332.02 | |
United
| Facility | $1,350.00 | $5,713.00 | $16,614.90 |