| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.01 | $4,500.00 | $6,534.99 | |
BCBS
| Facility | $5,602.87 | $8,785.64 | $13,706.31 | |
Cigna
| Facility | $2,545.78 | $2,545.78 | $2,545.78 | |
Medica
| Facility | $567.17 | $862.51 | $6,840.79 | |
Medica
| Facility | AS | $140.25 | $849.00 | $849.00 |
United
| Facility | $1,157.00 | $4,054.00 | $7,077.94 |