| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.00 | $4,479.00 | $17,506.40 | |
BCBS
| Facility | $2,089.36 | $13,994.44 | $21,063.64 | |
Cigna
| Facility | $11,505.00 | $17,405.31 | $23,257.45 | |
United
| Facility | $12,553.71 | $18,453.43 | $27,903.22 |