| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $554.00 | $3,034.00 | $6,284.00 | |
Anthem BCBS
| Facility | $770.00 | $1,508.00 | $3,523.00 | |
Cigna
| Facility | $2,213.00 | $2,213.00 | $2,213.00 | |
Medica
| Facility | $132.83 | $221.01 | $2,745.00 | |
United
| Facility | $1,380.00 | $2,363.00 | $5,999.30 |