| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $957.00 | $3,498.00 | $10,439.00 | |
BCBS
| Facility | $653.00 | $911.76 | $1,543.97 | |
Cigna
| Facility | $596.00 | $1,384.00 | $2,437.00 | |
Medica
| Facility | $137.57 | $292.73 | $2,127.41 | |
United
| Facility | $1,037.00 | $3,096.00 | $5,562.00 |