| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $6,560.00 | $13,151.00 | |
BCBS
| Facility | $640.47 | $809.01 | $1,699.50 | |
Cigna
| Facility | $710.00 | $710.00 | $710.00 | |
Medica
| Facility | $832.44 | $1,297.29 | $6,239.00 | |
United
| Facility | $1,900.00 | $2,843.00 | $6,239.00 |