| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.00 | $5,389.00 | $13,151.00 | |
Anthem BCBS
| Facility | $862.00 | $2,251.00 | $7,836.00 | |
Cigna
| Facility | $18,730.00 | $18,730.00 | $18,730.00 | |
Medica
| Facility | $204.63 | $381.01 | $11,700.00 | |
United
| Facility | $1,367.00 | $4,855.00 | $15,920.00 |