| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $6,606.93 | |
BCBS
| Facility | $1,122.02 | $1,737.80 | $2,818.38 | |
Cigna
| Facility | $208.93 | $208.93 | $208.93 | |
Medica
| Facility | $154.88 | $501.19 | $2,511.89 | |
United
| Facility | $138.04 | $616.60 | $1,659.59 |