| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,617.00 | $7,467.00 | |
BCBS
| Facility | $438.60 | $1,651.20 | $2,700.74 | |
Cigna
| Facility | $3,049.52 | $3,049.52 | $3,049.52 | |
Medica
| Facility | $207.16 | $980.61 | $4,702.00 | |
United
| Facility | $2,878.00 | $4,545.00 | $7,217.00 |