| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
BCBS
| Facility | $589.00 | $904.40 | $952.00 | |
Cigna
| Facility | $505.00 | $505.00 | $505.00 | |
Medica
| Facility | $458.06 | $683.38 | $3,331.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,842.00 |