| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $4,470.00 | $10,439.00 | |
BCBS
| Facility | $6,238.00 | $6,238.00 | $6,238.00 | |
Cigna
| Facility | $2,199.00 | $2,399.00 | $6,591.00 | |
Medica
| Facility | $330.72 | $1,157.95 | $2,138.25 | |
United
| Facility | $1,405.00 | $3,647.00 | $6,988.00 |