| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $928.00 | $1,135.00 | $1,572.62 | |
BCBS
| Facility | $727.00 | $1,222.00 | $2,120.00 | |
Cigna
| Facility | $677.50 | $1,127.00 | $1,825.00 | |
United
| Facility | $578.00 | $758.00 | $758.00 |