| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.08 | $4,387.00 | $10,439.00 | |
BCBS
| Facility | $578.00 | $768.56 | $1,279.35 | |
Cigna
| Facility | $442.00 | $442.00 | $442.00 | |
Medica
| Facility | $134.74 | $352.12 | $1,915.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |