| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $948.00 | $3,232.00 | $10,439.00 | |
BCBS
| Facility | $469.00 | $626.54 | $1,042.55 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $281.33 | $1,087.00 | $2,512.59 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |