| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,100.00 | $4,521.00 | $9,196.00 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Cigna
| Facility | $8,805.45 | $8,805.45 | $8,805.45 | |
Medica
| Facility | $1,088.74 | $1,574.50 | $7,168.00 | |
Medica
| Facility | AS | $287.36 | $2,569.69 | $2,569.69 |
United
| Facility | $4,613.00 | $6,477.00 | $9,010.00 |