| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $704.28 | $4,688.00 | $13,618.00 | |
Anthem BCBS
| Facility | $2,232.00 | $5,938.00 | $23,452.00 | |
Cigna
| Facility | $22,968.00 | $34,239.00 | $57,732.00 | |
Medica
| Facility | $55.00 | $1,056.44 | $23,595.00 | |
United
| Facility | $4,493.00 | $8,128.00 | $76,204.00 |