| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,704.00 | $4,908.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,490.00 | $12,991.00 | |
Cigna
| Facility | $18,730.00 | $18,730.00 | $18,730.00 | |
Medica
| Facility | $55.00 | $446.46 | $15,184.00 | |
United
| Facility | $842.00 | $1,729.00 | $15,920.00 |