| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,416.50 | $1,702.00 | $1,731.00 | |
BCBS
| Facility | $357.00 | $1,301.00 | $2,178.00 | |
Cigna
| Facility | $4,749.00 | $4,749.00 | $4,749.00 | |
United
| Facility | $800.00 | $800.00 | $800.00 |