| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.00 | $4,195.00 | $13,200.00 | |
BCBS
| Facility | $9,132.98 | $14,509.07 | $22,924.17 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $1,023.92 | $1,435.79 | $7,741.00 | |
Medica
| Facility | AS | $260.31 | $470.35 | $470.35 |
United
| Facility | $1,481.00 | $5,910.00 | $9,232.95 |