| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,802.72 | $12,600.00 | |
BCBS
| Facility | $6,387.39 | $10,015.81 | $15,625.45 | |
Cigna
| Facility | $2,545.78 | $2,545.78 | $2,545.78 | |
Medica
| Facility | $695.88 | $972.33 | $6,240.33 | |
Medica
| Facility | AS | $171.81 | $849.00 | $849.00 |
United
| Facility | $1,157.00 | $4,612.45 | $8,114.35 |