| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $2,630.27 | $6,760.83 | |
BCBS
| Facility | $7,413.10 | $11,481.54 | $19,054.61 | |
Cigna
| Facility | $2,570.40 | $2,570.40 | $2,570.40 | |
Medica
| Facility | $426.58 | $741.31 | $5,495.41 | |
United
| Facility | $891.25 | $3,235.94 | $6,025.60 |