| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.95 | $6,165.95 | $15,848.93 | |
BCBS
| Facility | $3,235.94 | $12,589.25 | $46,773.51 | |
Cigna
| Facility | $2,398.83 | $6,165.95 | $15,848.93 | |
United
| Facility | $4,073.80 | $12,589.25 | $19,498.45 |