| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,071.00 | $13,151.00 | |
BCBS
| Facility | $984.20 | $1,381.68 | $2,299.67 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $406.72 | $637.95 | $3,331.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,918.00 |