| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $772.62 | $3,304.00 | $8,400.00 | |
Aetna
| Facility | 52 | $143.71 | $143.71 | $194.06 |
BCBS
| Facility | $728.07 | $728.07 | $728.07 | |
Cigna
| Facility | $800.00 | $1,098.00 | $2,437.00 | |
Medica
| Facility | $239.52 | $388.10 | $3,019.00 | |
United
| Facility | $816.00 | $2,081.00 | $3,918.00 |