| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $3,090.30 | $6,309.57 | |
BCBS
| Facility | $416.87 | $1,096.48 | $1,995.26 | |
Cigna
| Facility | $331.13 | $562.34 | $933.25 | |
Medica
| Facility | $58.88 | $151.36 | $954.99 | |
United
| Facility | $794.33 | $1,862.09 | $4,677.35 |