| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.65 | $2,536.00 | $10,439.00 | |
Aetna
| Facility | 52 | $56.66 | $77.95 | $874.00 |
BCBS
| Facility | $8.77 | $10.08 | $17.47 | |
Cigna
| Facility | $9,690.00 | $9,690.00 | $9,690.00 | |
Medica
| Facility | $90.12 | $526.00 | $1,838.07 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |