| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,389.00 | $2,897.00 | $6,483.00 | |
BCBS
| Facility | $438.60 | $1,640.88 | $2,700.74 | |
Cigna
| Facility | $6,159.83 | $6,159.83 | $6,159.83 | |
Medica
| Facility | $211.24 | $297.66 | $6,117.00 | |
United
| Facility | $2,878.00 | $4,545.00 | $7,217.00 |