| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.00 | $4,376.00 | $12,154.00 | |
Aetna
| Facility | 52 | $162.75 | $162.75 | $219.57 |
BCBS
| Facility | $653.00 | $1,158.59 | $1,739.93 | |
Cigna
| Facility | $993.00 | $1,284.00 | $2,437.00 | |
Medica
| Facility | $235.17 | $382.04 | $1,925.00 | |
United
| Facility | $816.00 | $2,081.00 | $3,918.00 |