| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $3,715.35 | $7,762.47 | |
BCBS
| Facility | $776.25 | $2,041.74 | $3,801.89 | |
Cigna
| Facility | $741.31 | $977.24 | $977.24 | |
Medica
| Facility | $239.88 | $338.84 | $2,454.71 | |
Medica
| Facility | 52 | $537.03 | $3,715.35 | $3,715.35 |
United
| Facility | $977.24 | $1,698.24 | $4,677.35 |