| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $4,308.02 | $12,600.00 | |
BCBS
| Facility | $2,597.30 | $4,754.28 | $6,069.38 | |
Cigna
| Facility | $505.00 | $505.00 | $505.00 | |
Medica
| Facility | $775.87 | $1,215.56 | $11,642.00 | |
United
| Facility | $2,269.00 | $6,407.00 | $12,989.00 |