| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,151.45 | $4,376.00 | $12,600.00 | |
BCBS
| Facility | $429.00 | $540.01 | $1,137.26 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $605.85 | $986.82 | $3,125.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |